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

Cherry Street Services Inc

Organization Dentist · NPI 1396165601

Cherry Street Services Inc is a Dentist in Grand Rapids, Michigan. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
6
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

100 Cherry St
Grand Rapids, MI 49503
Phone: (616) 965-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Dentist Taxonomy 122300000X
Optometrist Taxonomy 152W00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1396165601
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasha Blackmon — Ceo · (616) 776-2128
NPI enumeratedApril 25, 2014
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing address100 Cherry Street Se, Grand Rapids, MI 49503

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