Provider Demographics
NPI:1376650655
Name:STROHECKER - BECKETT ORTHODONTICS
Entity Type:Organization
Organization Name:STROHECKER - BECKETT ORTHODONTICS
Other - Org Name:STROHECKER ORTHODONTIC ASSOC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:STROHECKER
Authorized Official - Last Name:BECKETT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:215-855-7717
Mailing Address - Street 1:456 E. HANCOCK ST
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446
Mailing Address - Country:US
Mailing Address - Phone:215-855-7717
Mailing Address - Fax:215-368-0937
Practice Address - Street 1:456 E. HANCOCK ST
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446
Practice Address - Country:US
Practice Address - Phone:215-855-7717
Practice Address - Fax:215-368-0937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029884L1223X0400X
PADS-029884-L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty