Provider Demographics
NPI:1386898914
Name:SCHERER, MICHAEL DAVID (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DAVID
Last Name:SCHERER
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
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:
Is Sole Proprietor?:No
Enumeration Date:2008-11-10
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN180401223G0001X
CA582331223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No1223G0001XDental ProvidersDentistGeneral Practice