Provider Demographics
NPI:1518002401
Name:STRIEBEL, JAMES A (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:STRIEBEL
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 1:7391 BRANDT PIKE
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-3233
Mailing Address - Country:US
Mailing Address - Phone:937-235-2400
Mailing Address - Fax:937-235-8070
Practice Address - Street 1:7391 BRANDT PIKE
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-3233
Practice Address - Country:US
Practice Address - Phone:937-235-2400
Practice Address - Fax:937-235-8070
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH190881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice