Healthcare Provider Details

I. General information

NPI: 1386898914
Provider Name (Legal Business Name): MICHAEL DAVID SCHERER D.M.D., M.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2008
Last Update Date: 06/15/2025
Certification Date: 06/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4040 S EASTERN AVE STE 330
LAS VEGAS NV
89119-0854
US

IV. Provider business mailing address

PO BOX 217
SOULSBYVILLE CA
95372-0217
US

V. Phone/Fax

Practice location:
  • Phone: 702-867-4651
  • Fax:
Mailing address:
  • Phone: 209-536-1954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberD012098
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number7800
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN18040
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number58233
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number7771
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: