Provider Demographics
NPI:1427276989
Name:STEVEN A. NERAD, D.M.D., PC
Entity type:Organization
Organization Name:STEVEN A. NERAD, D.M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NERAD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:925-846-3336
Mailing Address - Street 1:1024 SERPENTINE LN
Mailing Address - Street 2:SUITE 107
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-4716
Mailing Address - Country:US
Mailing Address - Phone:925-846-3336
Mailing Address - Fax:
Practice Address - Street 1:1024 SERPENTINE LN
Practice Address - Street 2:SUITE 107
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-4716
Practice Address - Country:US
Practice Address - Phone:925-846-3336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADU0327481223P0221X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty