Provider Demographics
NPI:1558637918
Name:DALE E. STRINGER D.D.S., INC.
Entity Type:Organization
Organization Name:DALE E. STRINGER D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:STRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, INC
Authorized Official - Phone:951-787-0602
Mailing Address - Street 1:6860 BROCKTON AVENUE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-3821
Mailing Address - Country:US
Mailing Address - Phone:951-787-0602
Mailing Address - Fax:951-787-1830
Practice Address - Street 1:6860 BROCKTON AVENUE
Practice Address - Street 2:SUITE 1
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3812
Practice Address - Country:US
Practice Address - Phone:951-787-0602
Practice Address - Fax:951-787-1830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1223S0112X
CAD279301223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB2793001Medicaid
CAT08879Medicare UPIN
CAB2793001Medicaid
CADS0279300Medicare PIN