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NPI Code Detail

MEDICARE: DR. RICHARD ANTHONY CAVOLO D.D.S.

MEDICARE:  DR. RICHARD ANTHONY CAVOLO  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry30-016728OH

General Provider Information

NPI Number : 1073550687
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD ANTHONY CAVOLO D.D.S.
Provider Business Mailing Address
First Line : 5432 WILSON MILLS RD
Second Line :
City : HIGHLAND HEIGHTS
State : OH
Zip : 44143-3021
Country : US
Telephone Number : 440-473-5850
Fax Number : 440-473-0632
Provider Business Practice Location Address
First Line : 5432 WILSON MILLS RD
Second Line :
City : HIGHLAND HEIGHTS
State : OH
Zip : 44143-3021
Country : US
Telephone Number : 440-473-5850
Fax Number : 440-473-0632
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 07/08/2007

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Directions to “ DR. RICHARD ANTHONY CAVOLO D.D.S.” Practice Location

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