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NPI Code Detail

MEDICARE: BERNARD STEINBERG DDS

MEDICARE: BERNARD STEINBERG 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
1261QD0000XDental Clinic/Center20946CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11659406312OTHERCANPI
21861685604OTHERCAORGANIZATION

General Provider Information

NPI Number : 1861685604
Entity Type Code : Organization
Provider Name (Legal Business Name) : BERNARD STEINBERG DDS
Provider Business Mailing Address
First Line : 2865 SUNRISE BLVD
Second Line : 114
City : RANCHO CORDOVA
State : CA
Zip : 95742-6538
Country : US
Telephone Number : 916-635-5717
Fax Number : 916-635-1475
Provider Business Practice Location Address
First Line : 2865 SUNRISE BLVD
Second Line : 114
City : RANCHO CORDOVA
State : CA
Zip : 95742-6538
Country : US
Telephone Number : 916-635-5717
Fax Number : 916-635-1475
Authorized Official
Title or Position : OWNER ORTHODONTICS
Name : DR. BERNARD STEINBERG
Credential : DDS
Telephone Number : 916-635-5717
Provider Enumeration Date : 08/24/2007
Last Update Date : 05/30/2008

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