Provider Demographics
NPI:1922133883
Name:STERMER, GEORGE ALBERT JR (DDS)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:ALBERT
Last Name:STERMER
Suffix:JR
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:PO BOX 5226
Mailing Address - Street 2:5 DUDLEY STREET
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24115-5226
Mailing Address - Country:US
Mailing Address - Phone:276-638-3265
Mailing Address - Fax:276-656-1190
Practice Address - Street 1:5 DUDLEY ST
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-1905
Practice Address - Country:US
Practice Address - Phone:276-638-3265
Practice Address - Fax:276-656-1190
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010034311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice