MEDICARE: SHEREEN RIEDLINGER DDS

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	1223G0001X	General Practice Dentistry	30.025737	OH

General Provider Information

NPI Number	:	1093370553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEREEN RIEDLINGER DDS

Provider Business Mailing Address
First Line	:	2810 ROSELLA AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-1414
Country	:	US
Telephone Number	:	937-903-3499
Fax Number	:

Provider Business Practice Location Address
First Line	:	3263 VANDERCAR WAY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45209-7545
Country	:	US
Telephone Number	:	513-978-5868
Fax Number	:

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

Provider Enumeration Date	:	05/09/2019
Last Update Date	:	01/01/2023

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