Provider Demographics
NPI:1174539845
Name:CHERKAS DENTAL ASSOCIATES PC
Entity type:Organization
Organization Name:CHERKAS DENTAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHERKAS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-672-8588
Mailing Address - Street 1:298 BLAIR MILL ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044
Mailing Address - Country:US
Mailing Address - Phone:215-672-2588
Mailing Address - Fax:215-672-8625
Practice Address - Street 1:298 BLAIR MILL ROAD
Practice Address - Street 2:SUITE 100
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044
Practice Address - Country:US
Practice Address - Phone:215-672-8588
Practice Address - Fax:215-672-8625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019234L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty