Provider Demographics
NPI:1568638583
Name:CAYETANO, ORLANDO L (DDS)
Entity Type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:L
Last Name:CAYETANO
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 1:6202 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-1837
Mailing Address - Country:US
Mailing Address - Phone:317-254-0433
Mailing Address - Fax:317-254-0596
Practice Address - Street 1:6202 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-1837
Practice Address - Country:US
Practice Address - Phone:317-254-0433
Practice Address - Fax:317-254-0596
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12009851A1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics