Provider Demographics
NPI:1033326483
Name:STRAWMAN, JOHN WILLARD V (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WILLARD
Last Name:STRAWMAN
Suffix:V
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1064 W WOOSTER ST
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-2633
Mailing Address - Country:US
Mailing Address - Phone:419-352-4661
Mailing Address - Fax:419-352-4944
Practice Address - Street 1:1064 W WOOSTER ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-2633
Practice Address - Country:US
Practice Address - Phone:419-352-4661
Practice Address - Fax:419-352-4944
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3414334122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223G0001XDental ProvidersDentistGeneral Practice