Provider Demographics
NPI:1386669901
Name:STREIT, STANLEY E (DDS)
Entity Type:Individual
Prefix:MR
First Name:STANLEY
Middle Name:E
Last Name:STREIT
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:PO BOX 269
Mailing Address - Street 2:
Mailing Address - City:OSBORNE
Mailing Address - State:KS
Mailing Address - Zip Code:67473
Mailing Address - Country:US
Mailing Address - Phone:785-346-5434
Mailing Address - Fax:785-346-5703
Practice Address - Street 1:107 E MAIN
Practice Address - Street 2:
Practice Address - City:OSBORNE
Practice Address - State:KS
Practice Address - Zip Code:67473
Practice Address - Country:US
Practice Address - Phone:785-346-5434
Practice Address - Fax:785-346-5703
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5461122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist