Healthcare Provider Details
I. General information
NPI: 1255464038
Provider Name (Legal Business Name): ALLAN J. SCHEINER DDS,INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/13/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3366 E BROAD ST
COLUMBUS OH
43213-1008
US
IV. Provider business mailing address
3366 E BROAD ST
COLUMBUS OH
43213-1008
US
V. Phone/Fax
- Phone: 614-236-8008
- Fax: 614-236-8073
- Phone: 614-236-8008
- Fax: 614-236-8073
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223S0112X |
| Taxonomy | Oral and Maxillofacial Surgery (Dentist) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ALLAN
J.
SCHEINER
Title or Position: PRESIDENT
Credential: DDS.
Phone: 614-236-8008