Healthcare Provider Details

I. General information

NPI: 1184535577
Provider Name (Legal Business Name): CHERYL FARRIS DDS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 NW CARY PKWY STE 115
CARY NC
27513-8444
US

IV. Provider business mailing address

104 CAVENDISH DR
CARY NC
27513-4937
US

V. Phone/Fax

Practice location:
  • Phone: 919-380-9622
  • Fax:
Mailing address:
  • Phone: 870-577-2611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. CHERYL FARRIS
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 870-577-2611