=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326249939
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SCOTT W CASHION DDS MS PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/30/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2710 HENRY ST SUITE 102
-----------------------------------------------------
City | GREENSBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27405
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-375-1980
-----------------------------------------------------
Fax | 336-375-1984
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2710 HENRY ST SUITE 102
-----------------------------------------------------
City | GREENSBORO
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27405
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 336-375-1980
-----------------------------------------------------
Fax | 336-375-1984
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT OWNER
-----------------------------------------------------
Name | DR. SCOTT W CASHION
-----------------------------------------------------
Credential | DDS MS
-----------------------------------------------------
Telephone | 336-375-1980
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223P0221X
-----------------------------------------------------
Taxonomy Name | Pediatric Dentistry
-----------------------------------------------------
License Number | 6322
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------