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NPI Code Detail

MEDICARE: STERLING DAO DMD

MEDICARE: STERLING DAO DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry38685TX

General Provider Information

NPI Number : 1740911452
Entity Type Code : Individual
Provider Name (Legal Business Name) : STERLING DAO DMD
Provider Business Mailing Address
First Line : 5872 OLD JACKSONVILLE HWY APT 626
Second Line :
City : TYLER
State : TX
Zip : 75703-0615
Country : US
Telephone Number : 425-761-5119
Fax Number :
Provider Business Practice Location Address
First Line : 3080 N EASTMAN RD
Second Line :
City : LONGVIEW
State : TX
Zip : 75605-5174
Country : US
Telephone Number : 903-686-0086
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2022
Last Update Date : 06/22/2022

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Directions to “ STERLING DAO DMD” Practice Location

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