Provider Demographics
NPI:1003987645
Name:SCHERER, MICHAEL SCOTT (DDS,MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SCOTT
Last Name:SCHERER
Suffix:
Gender:M
Credentials:DDS,MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 NAPERVILLE RD STE 160
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-5609
Mailing Address - Country:US
Mailing Address - Phone:630-364-2888
Mailing Address - Fax:630-668-1873
Practice Address - Street 1:2323 NAPERVILLE RD STE 160
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-5609
Practice Address - Country:US
Practice Address - Phone:630-364-2888
Practice Address - Fax:630-364-2930
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300216891223S0112X
OH35085671204E00000X
IL036115703204E00000X
IL0190269101223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery