Ronald Morris Gerecht – General Practice Dentistry

Key facts

NPI: 1154719979
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: 22221 (CA)
Practice address: 2031 W Alameda Ave
Suite 320
Burbank, CA 91506-2958
Phone: (818) 953-5401
Fax: (818) 953-2811
NPI assigned: Dec 31, 2014
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Ronald M. Gerecht DDS & H. Michael Goldberg DDS a Professional Corp General Practice Dentistry · Burbank, CA · NPI 1629082052

NPD (past) GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
22221	CA	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Ronald M. Gerecht DDS & H. Michael Goldberg DDS a Professional Corp	General Practice	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	22221	CA	Yes

Addresses

Primary practice location

2031 W Alameda Ave
Suite 320
Burbank, CA 91506-2958

Mailing address

2031 W Alameda Ave
Suite 320
Burbank, CA 91506-2958
Phone (818) 953-5401

Other providers in Burbank, CA

All providers in Burbank, CA · General Practice Dentistry in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.