Provider Demographics
NPI:1477070639
Name:BHATT, CHERYL ENGINEER (BDS, MPH, DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:ENGINEER
Last Name:BHATT
Suffix:
Gender:F
Credentials:BDS, MPH, DDS, MSD
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 1:6001 D TRUXTUN AVENUE
Practice Address - Street 2:SUITE 490
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309
Practice Address - Country:US
Practice Address - Phone:661-322-9242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-28
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101935122300000X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
No122300000XDental ProvidersDentist