Provider Demographics
NPI:1073733481
Name:STROPKO, JOHN JAMES (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JAMES
Last Name:STROPKO
Suffix:
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 1:14770 N BRENDA RD
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86305-5615
Mailing Address - Country:US
Mailing Address - Phone:602-617-6767
Mailing Address - Fax:928-778-5450
Practice Address - Street 1:14770 N BRENDA RD
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-5615
Practice Address - Country:US
Practice Address - Phone:602-617-6767
Practice Address - Fax:928-778-5450
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ 16681223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics