MEDICARE: DR. MOSES JOSEPH SCHEINGROSS D.M.D.

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	30015580	OH

General Provider Information

NPI Number	:	1013023134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOSES JOSEPH SCHEINGROSS D.M.D.

Provider Business Mailing Address
First Line	:	534 COLUMBUS AVE
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-2730
Country	:	US
Telephone Number	:	419-625-1464
Fax Number	:	419-625-1437

Provider Business Practice Location Address
First Line	:	534 COLUMBUS AVE
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-2730
Country	:	US
Telephone Number	:	419-625-1464
Fax Number	:	419-625-1437

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

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	07/08/2007

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