Chery Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CHERY DENTAL LLC

Practice address

200 S Orange Ave
Green Cove Springs, FL 32043-4130

Phone

(904) 297-8416

NPI assigned

Jun 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Naderge Delphonse Chery, DMDNPI 1457786337

Title

Dentist

Phone

(904) 297-8416

Specialties & licenses 1

Addresses

Other names 1

• Green Cove Dental Doing business as

Locations

Practitioners 1

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

• Naderge D Chery, DMD

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1457786337
  NPD Authorized official

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1730740259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320434130",
            "telephone_number": "904-297-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S ORANGE AVE",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320434130",
            "telephone_number": "904-297-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "CHERY",
        "authorized_official_first_name": "NADERGE",
        "authorized_official_middle_name": "DELPHONSE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "904-297-8416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Cove Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanna Carswell
• Antonia Carter, LMHC
• Grace Carter
• Jennifer Marion Casteel, MEDICAL TATTOOIST
• Barbara Castelli
• Brittany Clark
• Clay Behavioral Health Center, Inc.
• Clay County Board of County Commissioners
• Clay County Council on Aging, Inc.
• Clay County District Schools

• Dentist in Green Cove Springs, FL
• Providers in Green Cove Springs, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.