Provider Demographics
NPI:1346488087
Name:PREINER, GERALD FRANCIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:FRANCIS
Last Name:PREINER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:PROF
Other - First Name:JERRY
Other - Middle Name:FRANCIS
Other - Last Name:PREINER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:935 HILLSBOROUGH BLVD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:CA
Mailing Address - Zip Code:94010-6428
Mailing Address - Country:US
Mailing Address - Phone:650-348-3222
Mailing Address - Fax:650-343-4079
Practice Address - Street 1:1310 BAYSHORE HWY
Practice Address - Street 2:SUITE 23
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-1803
Practice Address - Country:US
Practice Address - Phone:650-342-3848
Practice Address - Fax:650-342-2430
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA192011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice