1346488087 NPI number — DR. GERALD FRANCIS PREINER D.D.S.

Table of content: DR. GERALD FRANCIS PREINER D.D.S. (NPI 1346488087)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346488087 NPI number — DR. GERALD FRANCIS PREINER D.D.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PREINER
Provider First Name:
GERALD
Provider Middle Name:
FRANCIS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PREINER
Provider Other First Name:
JERRY
Provider Other Middle Name:
FRANCIS
Provider Other Name Prefix Text:
PROF.
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.D.S.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1346488087
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/05/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
935 HILLSBOROUGH BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HILLSBOROUGH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94010-6428
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
650-348-3222
Provider Business Mailing Address Fax Number:
650-343-4079

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1310 BAYSHORE HWY
Provider Second Line Business Practice Location Address:
SUITE 23
Provider Business Practice Location Address City Name:
BURLINGAME
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94010-1803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-342-3848
Provider Business Practice Location Address Fax Number:
650-342-2430
Provider Enumeration Date:
02/03/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  19201 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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