CHERRY LANE DENTAL is a point of service in Meridian, ID. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. CHERRY LANE DENTAL NPI is 1083660021. The provider is registered as an organization entity type.
The provider's business location address is:
1104 W CHERRY LN MERIDIAN, ID ZIP 83642-513 Phone: (208) 888-7889
The provider's authorized official is John Andrew Bergloff . The authorized official title is President and has the following contact phone number (208) 888-7889.
The enumeration date for this NPI number is 5/25/2006 and was last updated on 8/22/2020.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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