Healthcare Provider Details

I. General information

NPI: 1922618792
Provider Name (Legal Business Name): CYNTHIA REN CAI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2020
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7934 BRADLEY LONG DR
SHERRILLS FORD NC
28673-9004
US

IV. Provider business mailing address

7934 BRADLEY LONG DR
SHERRILLS FORD NC
28673-9004
US

V. Phone/Fax

Practice location:
  • Phone: 828-481-4624
  • Fax:
Mailing address:
  • Phone: 828-481-4624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number12012
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number9703
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: