Provider Demographics
NPI:1487895439
Name:ALDRIDGE, CHERYL W (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:W
Last Name:ALDRIDGE
Suffix:
Gender:F
Credentials:DMD, MS
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Mailing Address - Street 1:1156 APPIAN CROSSING WAY
Mailing Address - Street 2:#102
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-1062
Mailing Address - Country:US
Mailing Address - Phone:859-533-0526
Mailing Address - Fax:
Practice Address - Street 1:1156 APPIAN CROSSING WAY
Practice Address - Street 2:#102
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-1062
Practice Address - Country:US
Practice Address - Phone:859-533-0526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY83061223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics