Provider Demographics
NPI:1578181194
Name:CAHILL, TRISHA JOHNSON (DDS)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:JOHNSON
Last Name:CAHILL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 W BUENA VISTA RD STE 206
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-5134
Mailing Address - Country:US
Mailing Address - Phone:812-422-2444
Mailing Address - Fax:
Practice Address - Street 1:1202 W BUENA VISTA RD STE 206
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-5134
Practice Address - Country:US
Practice Address - Phone:812-422-2444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12013424A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice