Provider Demographics
NPI:1336115559
Name:STROTHER, SIDNEY J (DDS)
Entity Type:Individual
Prefix:DR
First Name:SIDNEY
Middle Name:J
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 1:520 E WHIDBEY AVE
Mailing Address - Street 2:STE 210
Mailing Address - City:OAK HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98277-5921
Mailing Address - Country:US
Mailing Address - Phone:360-679-7227
Mailing Address - Fax:360-675-7278
Practice Address - Street 1:520 E WHIDBEY AVE
Practice Address - Street 2:STE 210
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-5921
Practice Address - Country:US
Practice Address - Phone:360-679-7227
Practice Address - Fax:360-675-7278
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA71211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice