Provider Demographics
NPI:1922734706
Name:BELTON, CHERINA JO
Entity type:Individual
Prefix:DR
First Name:CHERINA
Middle Name:JO
Last Name:BELTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 CITY CENTER LN
Mailing Address - Street 2:
Mailing Address - City:WENDELL
Mailing Address - State:NC
Mailing Address - Zip Code:27591-4418
Mailing Address - Country:US
Mailing Address - Phone:336-618-3248
Mailing Address - Fax:
Practice Address - Street 1:3141 CAPITAL BLVD STE 107
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-3378
Practice Address - Country:US
Practice Address - Phone:984-217-3240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13721122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist