Provider Demographics
NPI:1861555112
Name:CASH, ALLAN HEATH III (DDS)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:HEATH
Last Name:CASH
Suffix:III
Gender:M
Credentials:DDS
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Other - Credentials:
Mailing Address - Street 1:PENINSULA FAMILY DENTISTRY PLC
Mailing Address - Street 2:12610 PATRICK HENRY DRIVE SUITE G
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602
Mailing Address - Country:US
Mailing Address - Phone:757-874-8612
Mailing Address - Fax:757-578-9117
Practice Address - Street 1:PENINSULA FAMILY DENTISTRY PLC
Practice Address - Street 2:12610 PATRICK HENRY DRIVE SUITE G
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602
Practice Address - Country:US
Practice Address - Phone:757-874-8612
Practice Address - Fax:757-578-9117
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0401411255122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist