Provider Demographics
NPI:1861685604
Name:BERNARD STEINBERG DDS
Entity Type:Organization
Organization Name:BERNARD STEINBERG DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER ORTHODONTICS
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-635-5717
Mailing Address - Street 1:2865 SUNRISE BLVD
Mailing Address - Street 2:114
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95742-6538
Mailing Address - Country:US
Mailing Address - Phone:916-635-5717
Mailing Address - Fax:916-635-1475
Practice Address - Street 1:2865 SUNRISE BLVD
Practice Address - Street 2:114
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95742-6538
Practice Address - Country:US
Practice Address - Phone:916-635-5717
Practice Address - Fax:916-635-1475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-24
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20946261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1659406312OtherNPI
CA1861685604OtherORGANIZATION