Provider Demographics
NPI:1770900417
Name:MICHAEL D. SCHERER, DMD, MS, INC.
Entity type:Organization
Organization Name:MICHAEL D. SCHERER, DMD, MS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHERER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:209-536-1954
Mailing Address - Street 1:14570 MONO WAY
Mailing Address - Street 2:SUITE #I
Mailing Address - City:SONORA
Mailing Address - State:CA
Mailing Address - Zip Code:95370-8997
Mailing Address - Country:US
Mailing Address - Phone:209-536-1954
Mailing Address - Fax:209-536-6554
Practice Address - Street 1:14570 MONO WAY
Practice Address - Street 2:SUITE #I
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370-8997
Practice Address - Country:US
Practice Address - Phone:209-536-1954
Practice Address - Fax:209-536-6554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-19
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58233122300000X, 1223G0001X, 1223P0700X
CA582321223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty