Dr. Jack L. Cherry , DDS
Dentist - General Practice • Albany, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jack Cherry has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jack Cherry, DDS was a registered Dentist - General Practice practicing in Albany, MO. Throughout an active medical career spanning 17 years, Dr. Cherry provided care at the practice location at 111 W CLAY ST until profile deactivation on 2023-02-01.
Practice Location & Contact Primary Location
111 W Clay St
Albany, MO 644021601
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Albany, MO
Practicing in Albany, MO (2113 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 01, 2023
NPI status registered as active in NPPES database
Registered at 111 W CLAY ST, ALBANY, MO 644021601 (Tel: 6607265292)
Registered at 111 W CLAY ST, P.O. BOX 178, ALBANY, MO 644021601 (Tel: 6607265292)
Recorded as JACK CHERRY, D.D.S.
Dentist (License #010647 in MO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
111 W Clay St, P.o. Box 178
Albany, MO 644021601
Phone: 6607265292
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