Provider Demographics
NPI:1285731836
Name:CHERRY, STEVEN W (DMD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:W
Last Name:CHERRY
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Gender:M
Credentials:DMD
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Mailing Address - Street 1:6520 GLENRIDGE PARK PL
Mailing Address - Street 2:SUITE 7
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-3453
Mailing Address - Country:US
Mailing Address - Phone:502-423-7822
Mailing Address - Fax:502-423-7822
Practice Address - Street 1:6520 GLENRIDGE PARK PL
Practice Address - Street 2:SUITE 7
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40222-3453
Practice Address - Country:US
Practice Address - Phone:502-423-7822
Practice Address - Fax:502-423-7822
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2014-03-25
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Provider Licenses
StateLicense IDTaxonomies
KY53851223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery