Cheryl Terrell

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12620 Issued in MD

Practice address

10274 Lake Arbor Way Ste 203
Mitchellville, MD 20721-3146

Phone

(301) 808-3909

Fax

(301) 808-3908

NPI assigned

Mar 5, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Lake Arbor Dental Associates

  • Dental Clinic/Center
  • Mitchellville, MD
  • NPI 1831416098
  NPD (past)

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1689844722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10274 LAKE ARBOR WAY STE 203",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207213146",
            "telephone_number": "301-808-3909",
            "fax_number": "301-808-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10274 LAKE ARBOR WAY STE 203",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207213146",
            "telephone_number": "301-808-3909",
            "fax_number": "301-808-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "CHERYL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "13546",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Rose Subryan, ED.D
• T&J Enterprises, Inc.
• Guy B Tchamologne
• Jima Telele, M.D.
• Tender Touch Dental Care, LLC
• The Alabi Group, LLC
• The Oral Surgery Center at Mitchellville
• The Pediatric and Adolescent Center, LLC
• Michelle Denise Thomas, MD
• Tlay Health Care Services,Inc.

• General Practice Dentistry in Mitchellville, MD
• Providers in Mitchellville, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.