Organization · Type 2 NPI
Cherry Lane Dental
Point of Service · Meridian, ID
NPI number
1083660021
Active
Practice location
1104 W Cherry Ln
Meridian, ID 83642-1513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | D-3409 (ID) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
2 other providers at this address
Other point of service providers in Meridian
About NPI 1083660021
Cherry Lane Dental's National Provider Identifier is 1083660021, issued on May 25, 2006. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Meridian, ID. The record was last updated on Aug 22, 2020.