Provider Demographics
NPI:1679359558
Name:KASKIE, ANDREW (DDS)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:KASKIE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 ARIA BLVD
Mailing Address - Street 2:
Mailing Address - City:WENDOVER
Mailing Address - State:UT
Mailing Address - Zip Code:84083-4550
Mailing Address - Country:US
Mailing Address - Phone:317-385-3305
Mailing Address - Fax:
Practice Address - Street 1:399 ARIA BLVD
Practice Address - Street 2:
Practice Address - City:WENDOVER
Practice Address - State:UT
Practice Address - Zip Code:84083-4550
Practice Address - Country:US
Practice Address - Phone:317-385-3305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-06
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14187208-9926122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist