Cherry Lane Dental

LBN: Cherry Lane Dental
Cherry Lane Dental is an health care organization with primary practice located at 1104 W Cherry Ln , Meridian ID 83642-1513. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Cherry Lane Dental can be contacted via phone (208) 888-7889, or through Bergloff, John Andrew via phone (208) 888-7889.

Contact Information

Primary practice address
1104 W Cherry Ln Meridian ID 83642-1513
Phone: (208) 888-7889
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bergloff, John Andrew Doctor of Dental Surgery (DDS)
Phone: (208) 888-7889

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X D-3409 Idaho

Profile Details

NPI number 1083660021
LBN Legal business name Cherry Lane Dental
DBA Doing business as
Authorized official Bergloff, John Andrew Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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