IndividualActive
Andrew Cassidy, DDS
NPI 1639242654 · General Practice Dentistry · Rolla, MO
Provider details
- NPI number
- 1639242654
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 015886 (MO)
Mailing address
12655 Ginger Ln
Rolla, MO 65401-6747
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.