Provider Demographics
NPI:1750390779
Name:SCHEINER, ALLAN JOSEPH (DDS)
Entity type:Individual
Prefix:
First Name:ALLAN
Middle Name:JOSEPH
Last Name:SCHEINER
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 1:1575 CROSS CREEKS BLVD
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8237
Mailing Address - Country:US
Mailing Address - Phone:614-236-8008
Mailing Address - Fax:614-236-8073
Practice Address - Street 1:3366 E BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-1008
Practice Address - Country:US
Practice Address - Phone:614-236-8008
Practice Address - Fax:614-236-8073
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH139731223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSC-0430971Medicare ID - Type Unspecified