Provider Demographics
NPI:1003218629
Name:STROEDE, CLAIRE (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:
Last Name:STROEDE
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15990 S BRADLEY DR
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-3925
Mailing Address - Country:US
Mailing Address - Phone:913-491-3400
Mailing Address - Fax:
Practice Address - Street 1:15990 S BRADLEY DR
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-3925
Practice Address - Country:US
Practice Address - Phone:913-491-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-25
Last Update Date:2015-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20110309401223X0400X
OH30.023393122300000X
KS608801223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist