Provider Demographics
NPI:1437351608
Name:MICHAEL S CHERRE DDS
Entity Type:Organization
Organization Name:MICHAEL S CHERRE DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PENNY
Authorized Official - Middle Name:W
Authorized Official - Last Name:SNELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-391-9170
Mailing Address - Street 1:355 OZARK TRAIL DR
Mailing Address - Street 2:STE 3
Mailing Address - City:ELLISVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63011
Mailing Address - Country:US
Mailing Address - Phone:636-391-9170
Mailing Address - Fax:636-227-7350
Practice Address - Street 1:355 OZARK TRAIL DR
Practice Address - Street 2:STE 3
Practice Address - City:ELLISVILLE
Practice Address - State:MO
Practice Address - Zip Code:63011
Practice Address - Country:US
Practice Address - Phone:636-391-9170
Practice Address - Fax:636-227-7350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO136081223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty