Provider Demographics
NPI:1013023134
Name:SCHEINGROSS, MOSES JOSEPH (DMD)
Entity Type:Individual
Prefix:DR
First Name:MOSES
Middle Name:JOSEPH
Last Name:SCHEINGROSS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-2730
Mailing Address - Country:US
Mailing Address - Phone:419-625-1464
Mailing Address - Fax:419-625-1437
Practice Address - Street 1:534 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-2730
Practice Address - Country:US
Practice Address - Phone:419-625-1464
Practice Address - Fax:419-625-1437
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300155801223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics