NPI 1790793313 · live from the CMS NPI Registry
Robert Kyle Cavanaugh, D.D.S.
Dentist, Orthodontics and Dentofacial Orthopedics in Valparaiso, IN. National Provider Identifier 1790793313, active.
NPI record
| NPI | 1790793313 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 800 Wall St, Suite A, Valparaiso, IN 46383 |
| Practice phone | 219-476-4110 |
| Enumerated | August 3, 2006 |
| Last updated | July 23, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 12010044A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.