Provider Demographics
NPI:1285876805
Name:STERNBERGER, SIDNEY S (DMD)
Entity type:Individual
Prefix:DR
First Name:SIDNEY
Middle Name:S
Last Name:STERNBERGER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1097 OLD COUNTRY RD STE 209
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-6505
Mailing Address - Country:US
Mailing Address - Phone:917-620-4577
Mailing Address - Fax:516-931-2290
Practice Address - Street 1:1097 OLD COUNTRY RD STE 209
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803
Practice Address - Country:US
Practice Address - Phone:917-620-4577
Practice Address - Fax:516-931-6608
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0544861223P0700X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223P0700XDental ProvidersDentistProsthodontics