Cherry Bay Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHERRY BAY DENTAL

Practice address

1429 Barlow St
Traverse City, MI 49686-4313

Phone

(231) 935-1948

NPI assigned

Jun 1, 2022

Organization subpart

No

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

Authorized official

Name

Angela Perrin

Title

Treatment Care Coordinator

Phone

(231) 935-1948

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Anne Pfefferle, DDS

  • General Practice Dentistry
  • Traverse City, MI
  • NPI 1699930453
  NPD (past)

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1720727316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 BARLOW ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864313",
            "telephone_number": "231-935-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 BARLOW ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864313",
            "telephone_number": "231-935-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY BAY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "PERRIN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "TREATMENT CARE COORDINATOR",
        "authorized_official_telephone_number": "231-935-1948"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charity Manke, Ma, LLP
• Elisabeth Charles
• Destyne L Chavalia
• Natalya Chegudi, M.S.
• John Austin Wren Chellis, DPT
• Cherry Bend Family Care, PLC
• Cherry Capital Cab LLC
• Cherry Hill Haven Inc.
• Cherryland Chiropractic Centre PC
• Sarah Juliana Chichester, PMHNP

• Dental Clinic/Center in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; 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.