Provider Demographics
NPI:1902020779
Name:ASAY, CALVIN MIKE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:MIKE
Last Name:ASAY
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 1:16 CHISHOLM TRL
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5043
Mailing Address - Country:US
Mailing Address - Phone:512-244-2796
Mailing Address - Fax:512-244-7334
Practice Address - Street 1:16 CHISHOLM TRL
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5043
Practice Address - Country:US
Practice Address - Phone:512-244-2796
Practice Address - Fax:512-244-7334
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX227071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice