Individual
DR. GREGORY EARL CHESHIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2120 SARNO RD, MELBOURNE, FL 32935-3084
(321) 241-6800
(321) 241-6888
Mailing address
PO BOX 1137, MELBOURNE, FL 32902-1137
(321) 952-9696
(321) 952-7937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0014021
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016523700
—
FL
Enumeration date
06/02/2005
Last updated
07/21/2022
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