Provider Demographics
NPI:1114995222
Name:CAYO, CRAIG T (DDS)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:T
Last Name:CAYO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 MONTE VISTA CIRCLE
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401
Mailing Address - Country:US
Mailing Address - Phone:970-249-9445
Mailing Address - Fax:
Practice Address - Street 1:600 S PARK AVE
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-4324
Practice Address - Country:US
Practice Address - Phone:970-240-4485
Practice Address - Fax:970-249-6539
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6728174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO97905Medicare UPIN