Provider Demographics
NPI:1114121985
Name:STINCHFIELD, THOMAS STERLING (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:STERLING
Last Name:STINCHFIELD
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 1:15821 LOFTY TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-2039
Mailing Address - Country:US
Mailing Address - Phone:858-217-6152
Mailing Address - Fax:
Practice Address - Street 1:2530 E ST
Practice Address - Street 2:
Practice Address - City:WASHOUGAL
Practice Address - State:WA
Practice Address - Zip Code:98671-1631
Practice Address - Country:US
Practice Address - Phone:360-921-9496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000109821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice