Provider Demographics
NPI:1033525233
Name:DAVID STREIFF DMD PC
Entity Type:Organization
Organization Name:DAVID STREIFF DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:STREIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-431-3200
Mailing Address - Street 1:7110 SW HAZELFERN RD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-7776
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7110 SW HAZELFERN RD
Practice Address - Street 2:SUITE 240
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97224-7776
Practice Address - Country:US
Practice Address - Phone:503-431-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty