Provider Demographics
NPI:1467672444
Name:STRAKER, NORMAN C (DDS)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:C
Last Name:STRAKER
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 1:10401 SAWMILL PKWY
Mailing Address - Street 2:SUITE D-100
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-7451
Mailing Address - Country:US
Mailing Address - Phone:614-792-0064
Mailing Address - Fax:614-792-3376
Practice Address - Street 1:10401 SAWMILL PKWY
Practice Address - Street 2:SUITE D-100
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7451
Practice Address - Country:US
Practice Address - Phone:614-792-0064
Practice Address - Fax:614-792-3376
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH155471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice