Provider Demographics
NPI:1457002917
Name:DENTAL ASSOCIATES AT CHERRY HILL PC
Entity Type:Organization
Organization Name:DENTAL ASSOCIATES AT CHERRY HILL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMER
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOUKFEH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-761-5821
Mailing Address - Street 1:42448 CHERRY HILL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-3693
Mailing Address - Country:US
Mailing Address - Phone:734-844-1000
Mailing Address - Fax:
Practice Address - Street 1:42448 CHERRY HILL RD STE 100
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-3693
Practice Address - Country:US
Practice Address - Phone:734-844-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-15
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental