Cherry Street Services Inc - Dental Clinic in Grand Rapids, MI

Cherry Street Services Inc is a dental clinic (Family Medicine) in Grand Rapids, Michigan. The current practice location for Cherry Street Services Inc is 100 Cherry Street, Grand Rapids, Michigan. For appointments, you can reach them via phone at (616) 965-8200. The mailing address for Cherry Street Services Inc is 100 Cherry Street Se, Grand Rapids, Michigan and phone number is (616) 965-8200.

Cherry Street Services Inc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1396165601. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (616) 965-8200.

Contact Information

Cherry Street Services Inc
100 Cherry Street
Grand Rapids
MI 49503
(616) 965-8200
Not Available

Dental Care Clinic Profile

Full NameCherry Street Services Inc
SpecialityFamily Medicine
Location100 Cherry Street, Grand Rapids, Michigan
Authorized Official Name and PositionTasha Blackmon (CEO)
Authorized Official Contact6167762128
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Cherry Street Services Inc
100 Cherry Street Se
Grand Rapids
MI 49503

Ph: (616) 965-8200
Cherry Street Services Inc
100 Cherry Street
Grand Rapids
MI 49503

Ph: (616) 965-8200

NPI Details:

NPI Number1396165601
Provider Enumeration Date04/25/2014
Last Update Date10/10/2023

Medical Identifiers

Medical identifiers for Cherry Street Services Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396165601NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist (* (Not Available))Secondary
152W00000XOptometrist (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary

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