Provider Demographics
NPI:1407859200
Name:STROLE, D. GORDON JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:D.
Middle Name:GORDON
Last Name:STROLE
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3550 HULEN ST
Mailing Address - Street 2:STE C
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-6885
Mailing Address - Country:US
Mailing Address - Phone:817-732-9341
Mailing Address - Fax:817-732-7021
Practice Address - Street 1:3550 HULEN ST
Practice Address - Street 2:STE C
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-6885
Practice Address - Country:US
Practice Address - Phone:817-732-9341
Practice Address - Fax:817-732-7021
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX107451223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry