MEDICARE: DR. RONALD J. FAIR D.D.S., M.P.H.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223E0200X	Endodontics	28544	CA

General Provider Information

NPI Number	:	1942311170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD J. FAIR D.D.S., M.P.H.

Provider Business Mailing Address
First Line	:	1337 BANCROFT AVE
Second Line	:
City	:	SAN LEANDRO
State	:	CA
Zip	:	94577-5103
Country	:	US
Telephone Number	:	510-351-2812
Fax Number	:	510-351-2832

Provider Business Practice Location Address
First Line	:	1337 BANCROFT AVE
Second Line	:
City	:	SAN LEANDRO
State	:	CA
Zip	:	94577-5103
Country	:	US
Telephone Number	:	510-351-2812
Fax Number	:	510-351-2832

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1295933257 — DR. DEWEY TONG DDS
Practice Location Address:

1337 BANCROFT AVE
SAN LEANDRO, CA
94577-5103

Practice Phone: 510-351-2812
Practice Fax: 510-351-2832

1003093634 — CORNERSTONE COMMUNITY DEVELOPMENT CORPORATION
Practice Location Address:

1395 BANCROFT AVE
SAN LEANDRO, CA
94577-5103

Practice Phone: 510-357-0205
Practice Fax: 510-357-0688

1407025349 — SABRINA THOMAS
Practice Location Address:

1395 BANCROFT AVE
SAN LEANDRO, CA
94577-5103

Practice Phone: 510-357-0205
Practice Fax: 510-357-0688

1730358508 — JEANINE NICHOLAS
Practice Location Address:

1395 BANCROFT AVE
SAN LEANDRO, CA
94577-5103

Practice Phone: 510-357-0205
Practice Fax: 510-357-0688

1679731475 — JESSICA MARIE HERNANDEZ
Practice Location Address:

1395 BANCROFT AVE
SAN LEANDRO, CA
94577-5103

Practice Phone: 510-357-0205
Practice Fax: 510-357-0688

Directions to “ DR. RONALD J. FAIR D.D.S., M.P.H.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.