Healthcare Provider Details

I. General information

NPI: 1629199526
Provider Name (Legal Business Name): ROB S. STEINER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 03/15/2024
Certification Date: 03/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5969 E BROAD ST
COLUMBUS OH
43213-1546
US

IV. Provider business mailing address

443 N DREXEL AVE
COLUMBUS OH
43209-1045
US

V. Phone/Fax

Practice location:
  • Phone: 614-626-8822
  • Fax: 614-863-9510
Mailing address:
  • Phone: 614-361-0629
  • Fax: 614-863-9510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number18924
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code204E00000X
TaxonomyOral & Maxillofacial Surgery (D.M.D.)
License Number18924
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: