Provider Demographics
NPI:1356071393
Name:ORELUS, CHERBIE (DDS)
Entity type:Individual
Prefix:DR
First Name:CHERBIE
Middle Name:
Last Name:ORELUS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 PALMER LN
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-0004
Mailing Address - Country:US
Mailing Address - Phone:208-570-1394
Mailing Address - Fax:
Practice Address - Street 1:3450 S STATE HIGHWAY 161 STE 200
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-7281
Practice Address - Country:US
Practice Address - Phone:972-820-7214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX386111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty