Provider Demographics
NPI:1538243886
Name:CHERRINGTON, JADE L (DDS)
Entity type:Individual
Prefix:DR
First Name:JADE
Middle Name:L
Last Name:CHERRINGTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2590 NE COURTNEY DR STE 2
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-7640
Mailing Address - Country:US
Mailing Address - Phone:541-389-2905
Mailing Address - Fax:541-389-2936
Practice Address - Street 1:2590 NE COURTNEY DR STE 2
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-7640
Practice Address - Country:US
Practice Address - Phone:541-389-2905
Practice Address - Fax:541-389-2936
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD87561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice