Mark G Cherewka, DMD
Individual provider Active NPI General Practice Dentistry · Enola, PA
NPI 1275544975 · NPPES record last updated Nov 27, 2012
Key facts
- NPI
- 1275544975
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS-025505-L (PA)
- Practice address
- 525 N Enola Rd
Enola, PA 17025-2129 - Phone
- (717) 732-2550
- Fax
- (717) 732-2275
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS-025505-L | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ti-Consulting | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS-025505-L | PA | Yes |
Addresses
Primary practice location
525 N Enola Rd
Enola, PA 17025-2129
Mailing address
525 N Enola Rd
Enola, PA 17025-2129
Phone (717) 732-2550
Other providers in Enola, PA
- Bradley James Brockbank
- Earla C Bucher
- Capital Area Intermediate Unit
- Vicki Jo Carrier
- Central Pennsylvania Pulmonary Associates LLC
- Christensen Chiropractic
- Barbara Christensen
- Thomas Chu
- Daniel J Church
- Jamie Clark
All providers in Enola, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.