Healthcare Provider Details

I. General information

NPI: 1700115797
Provider Name (Legal Business Name): CAVE AND CAVE FAMILY DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2009
Last Update Date: 12/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9571 W STATE ROAD 56
FRENCH LICK IN
47432-9708
US

IV. Provider business mailing address

PO BOX 151
FRENCH LICK IN
47432-0151
US

V. Phone/Fax

Practice location:
  • Phone: 812-936-3939
  • Fax: 812-936-2992
Mailing address:
  • Phone: 812-936-2929
  • Fax: 812-936-2992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHLEE N CAVE
Title or Position: OWNER
Credential: DDS
Phone: 812-936-2929