| Doctor Name: | DR. LISA MARIE CHERRY |
| NPI Number: | 1518036235 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DDS |
| License Number: | 4417 |
| Business Practice Address: | 1405 Brushy Creek Rd Taylors, SC - 296874008 |
| Business Phone Number: | 8642443131 |
| Business Fax Number: | 8642443132 |
| Mailing Address: | 110 Villa Rd, GREENVILLE |
| State: | SC |
| Postal Code: | 296153010 |
| Phone Number: | 8642821935 |
| Fax Number: | 8642821955 |
| NPI Enumeration Date: | 11/07/2006 |
| NPI Last Update Date: | 03/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | 4417 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |