Provider Demographics
NPI:1467865022
Name:CAYON, ALICIA BARBARA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:BARBARA
Last Name:CAYON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8370 W FLAGLER ST STE 150
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2048
Mailing Address - Country:US
Mailing Address - Phone:305-227-3083
Mailing Address - Fax:305-227-6092
Practice Address - Street 1:8370 W FLAGLER ST STE 150
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2048
Practice Address - Country:US
Practice Address - Phone:305-227-3083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20679122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist