Provider Demographics
NPI:1588828602
Name:CHERRY-PEPPERS, GAIL (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:
Last Name:CHERRY-PEPPERS
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:DR
Other - First Name:GAIL
Other - Middle Name:
Other - Last Name:CHERRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS, MS
Mailing Address - Street 1:PO BOX 2834
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20891-2834
Mailing Address - Country:US
Mailing Address - Phone:202-232-2960
Mailing Address - Fax:202-232-6000
Practice Address - Street 1:529 FLORIDA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-1850
Practice Address - Country:US
Practice Address - Phone:202-232-2960
Practice Address - Fax:202-232-6000
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE5090122300000X
DC50901223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health
No122300000XDental ProvidersDentist