Provider Demographics
NPI:1295868388
Name:KEVIN J. STERLING DDSPA
Entity Type:Organization
Organization Name:KEVIN J. STERLING DDSPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:STERLING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:620-275-4251
Mailing Address - Street 1:1402 E KANSAS AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-5806
Mailing Address - Country:US
Mailing Address - Phone:620-275-4251
Mailing Address - Fax:620-275-5389
Practice Address - Street 1:1402 E KANSAS AVE
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-5806
Practice Address - Country:US
Practice Address - Phone:620-275-4251
Practice Address - Fax:620-275-5389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS54501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty