Provider Demographics
NPI:1982675591
Name:NEAL, CHERI LEA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHERI
Middle Name:LEA
Last Name:NEAL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5273 S JERICHO ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-5221
Mailing Address - Country:US
Mailing Address - Phone:303-766-1915
Mailing Address - Fax:303-766-8249
Practice Address - Street 1:16830 NORTHGATE DR STE 110
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-5778
Practice Address - Country:US
Practice Address - Phone:303-766-1915
Practice Address - Fax:303-766-8249
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO72831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice