Provider Demographics
NPI:1679767370
Name:CABECEIRAS, DAVID ELIAS (DMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ELIAS
Last Name:CABECEIRAS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:456 TUCKER ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-2336
Mailing Address - Country:US
Mailing Address - Phone:508-678-0564
Mailing Address - Fax:508-679-2315
Practice Address - Street 1:456 TUCKER ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-2336
Practice Address - Country:US
Practice Address - Phone:508-678-0564
Practice Address - Fax:508-679-2315
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA156191223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics