CHERRY LANE DENTAL
NPI 1083660021
Point of Service in Meridian, ID

Active since May 25, 2006
1104 W CHERRY LN, MERIDIAN, ID 83642(208) 888-7889 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cherry Lane Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHERRY LANE DENTAL (NPI 1083660021) is a healthcare organization registered as a point of service in Meridian, Idaho and active in the NPI registry since May 2006. The organization lists John Andrew Bergloff, President, as its authorized official.

NPPES Registry Identity

NPI1083660021
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameCHERRY LANE DENTAL
Location Address1104 W CHERRY LNMeridian, ID 83642-1513
Mailing Address1104 W Cherry LnMeridian, ID 83642-1513 · (208) 888-7889
Organization SubpartNo
Authorized OfficialJohn Andrew BergloffPresident · (208) 888-7889
Enumeration DateMay 25, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1083660021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
License Licensed in ID · D-3409
Definition

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.

1104 W CHERRY LN, Meridian, ID 83642

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1104 W CHERRY LN
MERIDIAN, ID 83642
Dentist
1104 W CHERRY LN
MERIDIAN, ID 83642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cherry Lane Dental's NPI number?

The NPI number for Cherry Lane Dental is 1083660021. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Cherry Lane Dental located?

Cherry Lane Dental is located at 1104 W Cherry Ln, Meridian, ID 83642. The listed phone number is (208) 888-7889.

What is Cherry Lane Dental's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

What insurance does Cherry Lane Dental accept?

Health plans from UnitedHealthcare list Cherry Lane Dental as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cherry Lane Dental was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.