Provider Demographics
NPI:1518083401
Name:CAVE, STEPHEN L (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:L
Last Name:CAVE
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:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:FRENCH LICK
Mailing Address - State:IN
Mailing Address - Zip Code:47432-0151
Mailing Address - Country:US
Mailing Address - Phone:812-936-2929
Mailing Address - Fax:812-936-2992
Practice Address - Street 1:9571 W STATE ROAD 56
Practice Address - Street 2:
Practice Address - City:FRENCH LICK
Practice Address - State:IN
Practice Address - Zip Code:47432-9708
Practice Address - Country:US
Practice Address - Phone:812-936-2929
Practice Address - Fax:812-936-2992
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12007591B1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice