Provider Demographics
NPI:1437579034
Name:CASCIONE, PHILIP JAMES (DDS)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:JAMES
Last Name:CASCIONE
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 1:1125 N LEBANON ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:IN
Mailing Address - Zip Code:46052-1760
Mailing Address - Country:US
Mailing Address - Phone:765-482-0580
Mailing Address - Fax:
Practice Address - Street 1:1455 W OAK ST STE A
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-1899
Practice Address - Country:US
Practice Address - Phone:317-873-3793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-22
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12008558A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice