MEDICARE: DR. PASCALE R CHERY DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN16298	FL
2	1223G0001X	General Practice Dentistry	DN16298	FL
3	1223G0001X	General Practice Dentistry	22DI02175700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235138439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PASCALE R CHERY DMD

Provider Business Mailing Address
First Line	:	110 S WOODLAND ST
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-3546
Country	:	US
Telephone Number	:	407-905-8827
Fax Number	:	407-209-3221

Provider Business Practice Location Address
First Line	:	4562 ROUTE 9 S
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-3771
Country	:	US
Telephone Number	:	732-474-6500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	09/11/2024

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