JACK L. CHERRY (NPI# 1396841029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396841029 |
Entity Type | Individual |
Full Name | JACK L. CHERRY |
Credential | D.D.S. |
Practice Address |
111 W Clay St Albany MO 64402-1601 |
Mailing Address |
111 W Clay St P.o. Box 178 Albany MO 64402-1601 |
Practice Telephone | 6607265292 |
Mailing Telephone | 6607265292 |
Enumeration Date | 2006-09-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
010647 | MO | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | DENTIST LICENSE | 010647 | 01 |
Street Address |
111 W CLAY ST |
City | ALBANY |
State | MO |
Zip Code | 64402-1601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821137266 | Howell Place LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1304 East Howell St, Albany, MO 64402 | 2007-02-05 |
1790837318 | Thomas Clinton Schneider | Dentist | 307 W Clay, Albany, MO 64402 | 2007-01-16 |
1245391028 | State of Missouri | Day Training, Developmentally Disabled Services | 809 N 13th St, Albany, MO 64402 | 2006-12-13 |
1427603919 | Northwest Health Services, Inc. | Clinic/Center | 101 W Jefferson St, Albany, MO 64402-1237 | 2019-08-02 |
1881725497 | Tlc Care Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 402 W Jefferson St, Albany, MO 64402-1242 | 2007-03-07 |
1174966543 | Albany Behavioral Health Services | Community/Behavioral Health | 115 N Smith St, Albany, MO 64402-1250 | 2013-04-16 |
1588973929 | Mary-jennifer Elizabeth Quinley | Counselor | 113 N Smith St, Albany, MO 64402-1250 | 2010-10-04 |
1942768197 | Kari A O'neal LLC | Counselor | 113 N Smith St, Albany, MO 64402-1250 | 2019-03-06 |
1467833707 | Kari Ann Oneal | Counselor | 113 N Smith St, Albany, MO 64402-1250 | 2015-06-12 |
1134541659 | Ssm Regional Health Services | Ophthalmology | 115 N Smith St, Albany, MO 64402-1250 | 2014-01-17 |
Find all providers in zip 64402 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245860345 | Hickory St LLC | Dentist | 637 Hickory St Nw Ste 110, Albany, OR 97321-1761 | 2020-01-17 |
1851945372 | Alaine Tay Shomali Prevish | Dentist | 409 1st Ave Nw, Albany, OR 97321-2227 | 2019-08-01 |
1053971028 | Richard Randall Mcneely | Dentist | 1725 Dawson Rd, Albany, GA 31707-3362 | 2019-06-20 |
1417438102 | David Levine | Dentist | 888 Western Ave, Albany, NY 12203-2532 | 2018-08-22 |
1417440223 | Megan Raiber | Dentist | 360 Railroad Ave, Albany, MN 56307-6201 | 2018-06-07 |
1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
1417290925 | Alexander Q Steres | Dentist | 1873 Western Ave Ste 200, Albany, NY 12203-5028 | 2013-04-03 |
1932447620 | Tina Jacob | Dentist | 5 Pine West Plz Ste 504, Albany, NY 12205-5587 | 2013-01-30 |
1669721452 | Centre' for Cosmetic Dentistry | Dentist | 2824 Gillionville Rd, Albany, GA 31721-2904 | 2012-09-07 |
1316222896 | Michael Jack Goger | Dentist | 1215 Hill St Se, Albany, OR 97322-3238 | 2011-10-17 |
Find all providers in ALBANY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.