Healthcare Provider Details

I. General information

NPI: 1942823448
Provider Name (Legal Business Name): CHERISH DUNSHEE DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2020
Last Update Date: 05/19/2020
Certification Date: 05/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4745 S 3200 W
TAYLORSVILLE UT
84129-2822
US

IV. Provider business mailing address

2621 S 3270 W
WEST VALLEY CITY UT
84119-1119
US

V. Phone/Fax

Practice location:
  • Phone: 801-964-6214
  • Fax:
Mailing address:
  • Phone: 801-964-6214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number11753454
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number11753454-9923
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: