Provider Demographics
NPI:1033950845
Name:GAY, CADIE ELIZABETH (DMD)
Entity type:Individual
Prefix:
First Name:CADIE
Middle Name:ELIZABETH
Last Name:GAY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 MELROSE DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-7017
Mailing Address - Country:US
Mailing Address - Phone:606-275-5860
Mailing Address - Fax:
Practice Address - Street 1:2911 S HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42501-3036
Practice Address - Country:US
Practice Address - Phone:606-485-2023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY11168122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist