Provider Demographics
NPI:1720241417
Name:CHERRY, WILLIAM ROBERT III (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ROBERT
Last Name:CHERRY
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 CONVERSE DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403
Mailing Address - Country:US
Mailing Address - Phone:910-794-2266
Mailing Address - Fax:
Practice Address - Street 1:3505 CONVERSE DRIVE
Practice Address - Street 2:SUITE 175
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6174
Practice Address - Country:US
Practice Address - Phone:910-794-2266
Practice Address - Fax:910-794-6899
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8569122300000X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist