Provider Demographics
NPI:1477819894
Name:CHEROF, NATHAN P (DMD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:P
Last Name:CHEROF
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3622 LOWELL BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2762
Mailing Address - Country:US
Mailing Address - Phone:404-889-3223
Mailing Address - Fax:
Practice Address - Street 1:31226 LEWIS RIDGE RD
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-7998
Practice Address - Country:US
Practice Address - Phone:303-674-5566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-10
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00201970122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist