Provider Demographics
NPI:1407248701
Name:STERLING POINTE FAMILY DENTISTRY
Entity Type:Organization
Organization Name:STERLING POINTE FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FEROZ
Authorized Official - Middle Name:M
Authorized Official - Last Name:NAWABI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:510-684-4391
Mailing Address - Street 1:800 STERLING PKWY
Mailing Address - Street 2:SUITE 20
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-8697
Mailing Address - Country:US
Mailing Address - Phone:916-434-7116
Mailing Address - Fax:916-434-7078
Practice Address - Street 1:800 STERLING PKWY
Practice Address - Street 2:SUITE 20
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-8697
Practice Address - Country:US
Practice Address - Phone:916-434-7116
Practice Address - Fax:916-434-7078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-23
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52652261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental