Provider Demographics
NPI:1104039387
Name:DR. PAT CASSIDY & PARTNERS, PLLC
Entity Type:Organization
Organization Name:DR. PAT CASSIDY & PARTNERS, PLLC
Other - Org Name:RESEARCH TRIANGLE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:NORMAN
Authorized Official - Last Name:CASSIDY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MPH
Authorized Official - Phone:919-596-7447
Mailing Address - Street 1:PO BOX 12075
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27709-2075
Mailing Address - Country:US
Mailing Address - Phone:919-596-7447
Mailing Address - Fax:
Practice Address - Street 1:2615 S MIAMI BLVD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-5717
Practice Address - Country:US
Practice Address - Phone:919-596-7447
Practice Address - Fax:919-596-0910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty