Provider Demographics
NPI:1942856968
Name:CASHWELL, JONATHAN-JAY A (DDS)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN-JAY
Middle Name:A
Last Name:CASHWELL
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 1:4545 CONNECTICUT AVE NW APT 414
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-6021
Mailing Address - Country:US
Mailing Address - Phone:202-888-5022
Mailing Address - Fax:
Practice Address - Street 1:2020 LINCOLN WAY E STE E
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-7084
Practice Address - Country:US
Practice Address - Phone:330-830-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-15
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH30.026355122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program