Provider Demographics
NPI:1477070639
Name:BHATT, CHERYL ENGINEER (BDS, MPH, DDS)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:ENGINEER
Last Name:BHATT
Suffix:
Gender:F
Credentials:BDS, MPH, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15017 PLUMERIA CT
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93314-8519
Mailing Address - Country:US
Mailing Address - Phone:786-333-9904
Mailing Address - Fax:
Practice Address - Street 1:3409 CALLOWAY DR UNIT 401
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2529
Practice Address - Country:US
Practice Address - Phone:661-410-1234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-28
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101935122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist