JACK L. CHERRY


Address: 111 W Clay St, Albany, MO 64402-1601
Phone: 6607265292

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
010647 MO Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO DENTIST LICENSE 010647 01

Office Location

Street Address 111 W CLAY ST
City ALBANY
State MO
Zip Code 64402-1601

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City ALBANY
Zip Code 64402

Improve Information

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Dataset Information

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.

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