Charles Albert Cashman, DDS
Individual provider Active NPI General Practice Dentistry · Prague, OK
NPI 1689908261 · NPPES record last updated Sep 29, 2009
Key facts
- NPI
- 1689908261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3563 (OK)
- Practice address
- 1201 Jim Thorpe
Suite One
Prague, OK 74864 - Phone
- (405) 567-4975
- NPI assigned
- Sep 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3563 | OK | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3563 | OK | Yes |
Addresses
Primary practice location
1201 Jim Thorpe
Suite One
Prague, OK 74864
Mailing address
867 S Jim Thorpe
Box 513
Prague, OK 74864-0513
Phone (405) 567-4975
Other providers in Prague, OK
- Raven Wind Ayers
- Bristow Endeavor Healthcare, LLC
- Chasitee Qwinette Burdine
- Abigail Jean Burris
- Care Nursing Home Inc.
- Central Ok Family Med Ctr
- Central Oklahoma Family Medical Center
- Larry Walter Church
- Jennifer Cook
- Scott Alan Copeland
All providers in Prague, OK · General Practice Dentistry in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.