Healthcare Provider Details

I. General information

NPI: 1376659854
Provider Name (Legal Business Name): MICHAEL MARTIN CASH SR. DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 ORCHARD RD
RIVER RIDGE LA
70123-2610
US

IV. Provider business mailing address

264 METAIRIE HEIGHTS AVE
METAIRIE LA
70001-3037
US

V. Phone/Fax

Practice location:
  • Phone: 504-737-3541
  • Fax: 504-737-3547
Mailing address:
  • Phone: 504-831-9840
  • Fax: 504-831-9840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number4343
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: