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.

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 an individual dentist in South Lake Tahoe, California, licensed in California (37979) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1841393360
Entity TypeIndividualMale
Primary Taxonomy122300000X
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
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.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 37979
Definition

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 scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

585 TAHOE KEYS BLVD, South Lake Tahoe, CA 96150

Accepted Insurance

Frequently Asked Questions

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

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

Dentist with taxonomy code 122300000X.

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.