Healthcare Provider Details

I. General information

NPI: 1235138439
Provider Name (Legal Business Name): PASCALE R CHERY DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2005
Last Update Date: 09/11/2024
Certification Date: 09/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4562 ROUTE 9 S
HOWELL NJ
07731-3771
US

IV. Provider business mailing address

110 S WOODLAND ST
WINTER GARDEN FL
34787-3546
US

V. Phone/Fax

Practice location:
  • Phone: 732-474-6500
  • Fax:
Mailing address:
  • Phone: 407-905-8827
  • Fax: 407-209-3221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN16298
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN16298
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number22DI02175700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: