Provider Demographics
NPI:1508339557
Name:JOHN R STRIEBEL DDS INC
Entity Type:Organization
Organization Name:JOHN R STRIEBEL DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:STRIEBEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:937-291-1822
Mailing Address - Street 1:9200 MARKETPLACE DRIVE
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342
Mailing Address - Country:US
Mailing Address - Phone:937-291-1822
Mailing Address - Fax:937-291-3422
Practice Address - Street 1:9200 MARKETPLACE DRIVE
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342
Practice Address - Country:US
Practice Address - Phone:937-291-1822
Practice Address - Fax:937-291-3422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-02
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty