Provider Demographics
NPI:1154463131
Name:STROTHER, STEVEN B (DDS)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:B
Last Name:STROTHER
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 1:6073 N FRESNO ST STE 103
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-8614
Mailing Address - Country:US
Mailing Address - Phone:559-432-6384
Mailing Address - Fax:559-432-9743
Practice Address - Street 1:6073 N FRESNO ST STE 103
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-8614
Practice Address - Country:US
Practice Address - Phone:559-432-6384
Practice Address - Fax:559-432-9743
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA246121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice