Provider Demographics
NPI:1104565142
Name:STANDRING, STERLING GARRETT (DMD)
Entity type:Individual
Prefix:
First Name:STERLING
Middle Name:GARRETT
Last Name:STANDRING
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7446 W LOUISE DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85310-5631
Mailing Address - Country:US
Mailing Address - Phone:801-850-1609
Mailing Address - Fax:
Practice Address - Street 1:7446 W LOUISE DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85310-5631
Practice Address - Country:US
Practice Address - Phone:801-850-1609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-28
Last Update Date:2022-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12863647-99231223G0001X
AZD0113861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice