Provider Demographics
NPI:1821160680
Name:SCHEINBACH, RONALD S (DDS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:S
Last Name:SCHEINBACH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 O'FARRELL STREET
Mailing Address - Street 2:SUITE #4
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-1344
Mailing Address - Country:US
Mailing Address - Phone:650-345-8764
Mailing Address - Fax:650-345-8796
Practice Address - Street 1:1919 O'FARRELL STREET
Practice Address - Street 2:SUITE #4
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-1344
Practice Address - Country:US
Practice Address - Phone:650-345-8764
Practice Address - Fax:650-345-8796
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD294491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice