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NPI Code Detail

MEDICARE: DR. STEPHEN SHAE CHERRINGTON DDS

MEDICARE: DR. STEPHEN SHAE CHERRINGTON 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
1122300000XDentist5933858UT
21223P0700XProsthodontics5933858-9926UT
31223P0700XProsthodontics9453TN
41223P0700XProsthodontics5933858-9921UT

General Provider Information

NPI Number : 1619955929
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN SHAE CHERRINGTON DDS
Provider Business Mailing Address
First Line : 1650 COCHRANE CIR # B7500
Second Line :
City : FT CARSON
State : CO
Zip : 80913-4613
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR # B7500
Second Line :
City : FT CARSON
State : CO
Zip : 80913-4613
Country : US
Telephone Number : 706-836-8440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 10/05/2023

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Directions to “ DR. STEPHEN SHAE CHERRINGTON DDS” Practice Location

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