Provider Demographics
NPI:1184862393
Name:STRUMPF, MITCHELL MORRIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:MORRIS
Last Name:STRUMPF
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 1:2389 RINGLING BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-6142
Mailing Address - Country:US
Mailing Address - Phone:941-957-3311
Mailing Address - Fax:941-957-3310
Practice Address - Street 1:2389 RINGLING BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-6142
Practice Address - Country:US
Practice Address - Phone:941-957-3311
Practice Address - Fax:941-957-3310
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN-00070151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice