Healthcare Provider Details

I. General information

NPI: 1396325700
Provider Name (Legal Business Name): ELIZABETH KATHARINE CAHILL DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2021
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15875 EMPEROR AVE
APPLE VALLEY MN
55124-7801
US

IV. Provider business mailing address

15875 EMPEROR AVE
APPLE VALLEY MN
55124-7801
US

V. Phone/Fax

Practice location:
  • Phone: 651-463-2300
  • Fax:
Mailing address:
  • Phone: 651-463-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD14710
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: