Provider Demographics
NPI:1285389130
Name:STEMPFLE DENTAL CORPORATION
Entity type:Organization
Organization Name:STEMPFLE DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:R
Authorized Official - Last Name:STEMPFLE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:858-504-5370
Mailing Address - Street 1:12853 EL CAMINO REAL STE 205
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2969
Mailing Address - Country:US
Mailing Address - Phone:858-751-2221
Mailing Address - Fax:858-751-2229
Practice Address - Street 1:12853 EL CAMINO REAL STE 205
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-2969
Practice Address - Country:US
Practice Address - Phone:858-751-2221
Practice Address - Fax:858-751-2229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA107165OtherDENTIST