Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kevin John Cassidy, DDS

Individual provider Dentist · NPI 1841393360

Mr. Kevin John Cassidy, DDS is a Dentist in South Lake Tahoe, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

585 Tahoe Keys Blvd Ste 2
South Lake Tahoe, CA 96150
Phone: (530) 541-3772
Fax: (530) 541-0330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 37979 (CA)

Record details

NPI number1841393360
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 7, 2006
Last updated in NPPESJuly 8, 2007

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