Alivia Cao, DDS

Dentist · Vandalia, IL

Individual Active NPI

NPI number 1396475208

Practice location

2102 W Randolph St
Vandalia, IL 62471-1973
Phone
(618) 283-4900

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NPI record

NPI
1396475208
Entity type
Individual (Type 1)
Enumeration date
June 14, 2022
Last updated
June 14, 2022
Certified
June 14, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019.033624 IL

Mailing address

1210 N Somerset Ln
Woodridge, IL 60517-7572

About Dr. Cao

Alivia Cao, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2102 W Randolph St, Vandalia, IL 62471-1973. The NPI number 1396475208 was assigned on June 14, 2022 and the record was last updated on June 14, 2022.

Dr. Cao lists a license in the registry: #019.033624 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alivia Cao, DDS?

The NPI number is 1396475208.

What is the phone number of Dr. Cao?

The phone number listed for the practice location is (618) 283-4900.

Where is Dr. Cao located?

2102 W Randolph St, Vandalia, IL 62471-1973.

What is the taxonomy code for Dr. Cao?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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