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NPI 1144427022

NPI 1144427022 : MICHAEL S. CAVENDER, D.D.S. : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1144427022
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    Entity Type          |    Organization 
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    Legal Business Name  |    MICHAEL S. CAVENDER, D.D.S. 
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Dates
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    Enumeration Date     |    07/02/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    8765 E BELL RD STE 213 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85260-1321
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    Country              |    US
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    Telephone            |    480-731-3636
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    Fax                  |    480-731-3637
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Provider Business Mailing Address
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    Address Line         |    8765 E BELL RD STE 213 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85260-1321
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    Country              |    US
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    Telephone            |    480-731-3636
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    Fax                  |    480-731-3637
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Authorized Official
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    Title or Position    |    DENTIST
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    Name                 |    DR. MICHAEL S. CAVENDER 
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    Credential           |    D.D.S.
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    Telephone            |    480-731-3636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223E0200X
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    Taxonomy Name        |    Endodontics
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    License Number       |    6872
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    License Number State |    AZ
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