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Mary Caccavo, PH.D

NPI 1134116031 · on the registry since 2005

Practice

Address
2122 Scott St.
Lafayette, IN 47904
Phone
(765) 448-6226
Fax
(765) 448-9416
Organisation at this address
Aspen Dental Parkside Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
231H00000X
231H00000X
Also registered as
237600000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-06-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana