# JACK I CHERIN DMD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740342690
- **Authorized official:** JACK I CHERIN DMD (OWNER)
- **Authorized official phone:** (757) 497-8611

## Contact information

- **Practice address:** 5101 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23462
- **Practice address phone:** (757) 497-8611
- **Practice address fax:** (757) 499-7730
- **Mailing address:** 5101 PRINCESS ANNE RD, VIRGINIA BEACH, VA 23462
- **Mailing address phone:** (757) 497-8611
- **Mailing address fax:** (757) 499-7730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | 0401003088 | VA | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 08/22/2020