Provider Demographics
NPI:1699381913
Name:RIDGETOP DENTAL OF STERLING, PLLC
Entity Type:Organization
Organization Name:RIDGETOP DENTAL OF STERLING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SENSENBRENNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-444-9900
Mailing Address - Street 1:21631 RIDGETOP CIR STE 240
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-4288
Mailing Address - Country:US
Mailing Address - Phone:703-444-9900
Mailing Address - Fax:
Practice Address - Street 1:21631 RIDGETOP CIR STE 240
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20166-4288
Practice Address - Country:US
Practice Address - Phone:703-444-9900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty