Provider Demographics
NPI:1407002256
Name:STERIO, THOMAS W (DMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:W
Last Name:STERIO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8811 BRAE CREST DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-3836
Mailing Address - Country:US
Mailing Address - Phone:978-852-8491
Mailing Address - Fax:
Practice Address - Street 1:8811 BRAE CREST DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-3836
Practice Address - Country:US
Practice Address - Phone:978-852-8491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXUTSA 856-X1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXUTSA 856-XOtherSTATE BOARD OF DENTAL EXAMINERS (SBDE)