Provider Demographics
NPI:1760587000
Name:CATHEY, GEORGE ERWIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ERWIN
Last Name:CATHEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:707 NORTH DUSTIN AVE
Mailing Address - Street 2:GEORGE E CATHEY DDS PC
Mailing Address - City:FARMINGTON
Mailing Address - State:NM
Mailing Address - Zip Code:87401-6101
Mailing Address - Country:US
Mailing Address - Phone:505-327-9609
Mailing Address - Fax:505-327-9600
Practice Address - Street 1:707 NORTH DUSTIN AVE
Practice Address - Street 2:GEORGE E CATHEY DDS PC
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-6101
Practice Address - Country:US
Practice Address - Phone:505-327-9609
Practice Address - Fax:505-327-9600
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMNM11551223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics