Cheryl A Bologna, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015018 Issued in MI

Practice address

2532 Monroe St
Dearborn, MI 48124-3014

Phone

(313) 565-7191

NPI assigned

Mar 31, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Personalized Dental Care PLLC

  • Dentist
  • Dearborn, MI
  • NPI 1093047326
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215057161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243014",
            "telephone_number": "313-565-7191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 MONROE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243014",
            "telephone_number": "313-565-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLOGNA",
        "first_name": "CHERYL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "015018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mustafa Siraj Bohra, MD
• Anjum Bokhari, DO
• Toinetta Monique Bolden
• Aniya Renee Boler
• Manish Bolina, MD
• Angeline Bolton
• Frances Maureen Bolton
• Elisabeth Jean Bommarito, MD
• Kathryn Elizabeth Bommarito, DPT,PT
• Gregg Stuart Bonamici, DDS

• General Practice Dentistry in Dearborn, MI
• Providers in Dearborn, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.