Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cherry Street Services, Inc

Organization Dentist · NPI 1336399047

Cherry Street Services, Inc is a Dentist in Grand Rapids, Michigan. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

550 Cherry St SE
Grand Rapids, MI 49503-4748
Phone: (616) 235-7272
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Dentist Taxonomy 122300000X

Record details

NPI number1336399047
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCherry Street Services, Inc
Authorized official Tasha Blackmon — Ceo · (616) 965-8215
Other names School Dental Program; School Dental Program
NPI enumeratedSeptember 30, 2008
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026
Mailing address100 Cherry St Se, Grand Rapids, MI 49503-4526

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