Provider Demographics
NPI:1861118523
Name:STIERNBERG AND DAO DENTAL, PLLC
Entity type:Organization
Organization Name:STIERNBERG AND DAO DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:MANNING
Authorized Official - Last Name:STIERNBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-557-6785
Mailing Address - Street 1:6760 E SAM HOUSTON PKWY N STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77049-7305
Mailing Address - Country:US
Mailing Address - Phone:713-451-8845
Mailing Address - Fax:
Practice Address - Street 1:6760 E SAM HOUSTON PKWY N STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77049-7305
Practice Address - Country:US
Practice Address - Phone:713-451-8845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1114011087OtherDENTAL
TX1922395276OtherDENTAL
TX1376892406OtherDENTAL
TX1487797668OtherDENTAL