Provider Demographics
NPI:1477531200
Name:STRUTZ, WILLIAM CHARLES JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CHARLES
Last Name:STRUTZ
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7070 RENNER RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66217-3047
Mailing Address - Country:US
Mailing Address - Phone:913-268-0808
Mailing Address - Fax:913-268-3080
Practice Address - Street 1:7070 RENNER RD
Practice Address - Street 2:SUITE 201
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66217-3047
Practice Address - Country:US
Practice Address - Phone:913-268-0808
Practice Address - Fax:913-268-3080
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS57381223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics