Healthcare Provider Details

I. General information

NPI: 1750390779
Provider Name (Legal Business Name): ALLAN JOSEPH SCHEINER D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 09/18/2012
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

1575 CROSS CREEKS BLVD
PICKERINGTON OH
43147-8237
US

V. Phone/Fax

Practice location:
  • Phone: 614-236-8008
  • Fax: 614-236-8073
Mailing address:
  • Phone: 614-236-8008
  • Fax: 614-236-8073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number13973
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: