Provider Demographics
NPI:1477616126
Name:CHERYL L HELD, DDS, MS, PC
Entity Type:Organization
Organization Name:CHERYL L HELD, DDS, MS, PC
Other - Org Name:WINGHAVEN ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:LIN
Authorized Official - Last Name:HELD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS, PC
Authorized Official - Phone:636-561-5550
Mailing Address - Street 1:9979 WINGHAVEN BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-3628
Mailing Address - Country:US
Mailing Address - Phone:636-561-5550
Mailing Address - Fax:636-561-4805
Practice Address - Street 1:9979 WINGHAVEN BLVD STE 200
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-3628
Practice Address - Country:US
Practice Address - Phone:636-561-5550
Practice Address - Fax:636-561-4805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20001444661223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty