Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELMER RAYMOND CHERRY IV, D.D.S
Active Sole ProprietorDentist · VICTOR, ID
Registration Details
- NPI Number
- 1861621278
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2009 (16.839090327191 yrs)
- Last Updated
- Apr 25, 2012
- License
-
D-4235 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7389 S. HWY. 33 SUITE AVICTOR, ID, 83455Browse ID providers · Browse ZIP 83455
- Phone
- 2087872323
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in VICTOR, ID
| Name | Credential | NPI |
|---|---|---|
| MR. TRISTAN TAYLOR | D.D.S. | 1770870784 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.