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MR. KEVIN JOHN CASSIDY DDS
NPI 1841393360
Dentist in South Lake Tahoe, CA

Active since September 07, 2006
585 TAHOE KEYS BLVD, STE 2, SOUTH LAKE TAHOE, CA 96150(530) 541-3772(530) 541-0330 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Kevin John Cassidy Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN JOHN CASSIDY DDS (NPI 1841393360) is a dentist provider in South Lake Tahoe, California, licensed in California (37979) and active in the NPI registry since September 2006.Information from the official NPPES registry record, last updated July 8, 2007.

NPPES Registry Identity

NPI1841393360
Entity TypeIndividualMale
Provider Legal NameMR. KEVIN JOHN CASSIDYCredential: DDS
Location Address585 TAHOE KEYS BLVD, STE 2South Lake Tahoe, CA 96150
Mailing Address585 Tahoe Keys Blvd, Ste 2South Lake Tahoe, CA 96150 · (530) 541-3772 · Fax (530) 541-0330
Phone(530) 541-3772
Fax(530) 541-0330
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1841393360 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

★ Primary Specialty

Dentist

Taxonomy 122300000X · Dental Providers

✔ Licensed in CA · 37979

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the… Show more

585 TAHOE KEYS BLVD, South Lake Tahoe, CA 96150
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Accepted insurance plans are listed on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

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Frequently Asked Questions

What is Kevin Cassidy's NPI number?

The NPI number assigned to this healthcare provider is 1841393360, enumerated as an "individual" on September 07, 2006.

Where is the provider located?

The provider is located at 585 TAHOE KEYS BLVD STE 2 SOUTH LAKE TAHOE, CA 96150 and the phone number is (530) 541-3772.

What is the provider's specialty?

Dentist with taxonomy code 122300000X.

What insurance does Kevin Cassidy accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.