Provider Demographics
NPI:1558491423
Name:STERLING, RICHARD B (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:B
Last Name:STERLING
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 1:401 GLENNEYRE ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-2401
Mailing Address - Country:US
Mailing Address - Phone:949-494-8511
Mailing Address - Fax:
Practice Address - Street 1:401 GLENNEYRE ST
Practice Address - Street 2:SUITE G
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-2401
Practice Address - Country:US
Practice Address - Phone:949-494-8511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA250361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice