Provider Demographics
NPI:1184177529
Name:STERLING DENTAL PC
Entity type:Organization
Organization Name:STERLING DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:STERLING
Authorized Official - Last Name:REHL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:406-293-7541
Mailing Address - Street 1:217 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:LIBBY
Mailing Address - State:MT
Mailing Address - Zip Code:59923-2047
Mailing Address - Country:US
Mailing Address - Phone:406-293-7541
Mailing Address - Fax:406-293-9121
Practice Address - Street 1:217 E 2ND ST
Practice Address - Street 2:
Practice Address - City:LIBBY
Practice Address - State:MT
Practice Address - Zip Code:59923-2047
Practice Address - Country:US
Practice Address - Phone:406-293-7541
Practice Address - Fax:406-293-9121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-02
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTDEN-DEN-LIC-67681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty