MEDICARE: DR. DENISE MCCASKILL DMD

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
1	1223G0001X	General Practice Dentistry	DN17943	FL

General Provider Information

NPI Number	:	1427249135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENISE MCCASKILL DMD

Provider Business Mailing Address
First Line	:	6482 N US HIGHWAY 41
Second Line	:
City	:	APOLLO BEACH
State	:	FL
Zip	:	33572-1804
Country	:	US
Telephone Number	:	813-645-8300
Fax Number	:

Provider Business Practice Location Address
First Line	:	6482 N US HIGHWAY 41
Second Line	:
City	:	APOLLO BEACH
State	:	FL
Zip	:	33572-1804
Country	:	US
Telephone Number	:	813-645-8300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2007
Last Update Date	:	12/09/2021

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