Healthcare Provider Details

I. General information

NPI: 1164516290
Provider Name (Legal Business Name): EDWARD STUART STERLING DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1581 DODD DRIVE
COLUMBUS OH
43210
US

IV. Provider business mailing address

1581 DODD DRIVE
COLUMBUS OH
43210
US

V. Phone/Fax

Practice location:
  • Phone: 614-292-3160
  • Fax: 614-292-6291
Mailing address:
  • Phone: 614-292-3160
  • Fax: 614-292-6291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number14008
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number14008
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: