MEDICARE: DR. JEFFRY FRANCIS CHEREK DDS

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	1223G0001X	General Practice Dentistry	6066N	NE
2	122300000X	Dentist	6066	NE

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

General Provider Information

NPI Number	:	1588768683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFRY FRANCIS CHEREK DDS

Provider Business Mailing Address
First Line	:	6811 S 167TH ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68135-5401
Country	:	US
Telephone Number	:	402-861-6565
Fax Number	:	402-861-4118

Provider Business Practice Location Address
First Line	:	6811 S 167TH ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68135-5401
Country	:	US
Telephone Number	:	402-861-6565
Fax Number	:	402-861-4118

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

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	09/09/2023

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