Healthcare Provider Details

I. General information

NPI: 1003987645
Provider Name (Legal Business Name): MICHAEL SCOTT SCHERER D.D.S.,M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 08/23/2022
Certification Date: 08/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2323 NAPERVILLE RD STE 160
NAPERVILLE IL
60563-5609
US

IV. Provider business mailing address

2323 NAPERVILLE RD STE 160
NAPERVILLE IL
60563-5609
US

V. Phone/Fax

Practice location:
  • Phone: 630-364-2888
  • Fax: 630-364-2930
Mailing address:
  • Phone: 630-364-2888
  • Fax: 630-668-1873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number30021689
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number35085671
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number036115703
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number019026910
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: