Provider Demographics
NPI:1326249939
Name:SCOTT W CASHION DDS MS PA
Entity Type:Organization
Organization Name:SCOTT W CASHION DDS MS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:W
Authorized Official - Last Name:CASHION
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:336-375-1980
Mailing Address - Street 1:2710 HENRY ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405
Mailing Address - Country:US
Mailing Address - Phone:336-375-1980
Mailing Address - Fax:336-375-1984
Practice Address - Street 1:2710 HENRY ST
Practice Address - Street 2:SUITE 102
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405
Practice Address - Country:US
Practice Address - Phone:336-375-1980
Practice Address - Fax:336-375-1984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC63221223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8990090Medicaid
NC90090OtherBCBS
V04697Medicare UPIN