Provider Demographics
NPI:1679914204
Name:SCHEINES, CYNTHIA (DDS)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:SCHEINES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7245 SW ALOMA WAY
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-7926
Mailing Address - Country:US
Mailing Address - Phone:503-206-4902
Mailing Address - Fax:
Practice Address - Street 1:11092 ANDERSON ST
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92350-3001
Practice Address - Country:US
Practice Address - Phone:909-558-4643
Practice Address - Fax:909-558-7959
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2017-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CADDS1007341223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program