Provider Demographics
NPI:1083775761
Name:CHERRY HILLS DENTAL ASSOC
Entity Type:Organization
Organization Name:CHERRY HILLS DENTAL ASSOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SCHWAB
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:303-757-8446
Mailing Address - Street 1:4800 HAPPY CANYON RD
Mailing Address - Street 2:PO BOX 370410
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237
Mailing Address - Country:US
Mailing Address - Phone:303-757-8446
Mailing Address - Fax:303-639-5650
Practice Address - Street 1:4800 HAPPY CANYON RD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237
Practice Address - Country:US
Practice Address - Phone:303-757-8446
Practice Address - Fax:303-639-5650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty