Provider Demographics
NPI:1558478826
Name:STROHECKER ORTHODONTIC ASSOCIATES
Entity Type:Organization
Organization Name:STROHECKER ORTHODONTIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:HARRY
Authorized Official - Last Name:STROHECKER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:215-855-7717
Mailing Address - Street 1:456 EAST HANCOCK STREET
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-3803
Mailing Address - Country:US
Mailing Address - Phone:215-855-7717
Mailing Address - Fax:215-368-0937
Practice Address - Street 1:456 EAST HANCOCK STREET
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-3803
Practice Address - Country:US
Practice Address - Phone:215-855-7717
Practice Address - Fax:215-368-0937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS013879L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
T29421Medicare ID - Type Unspecified
T29421Medicare UPIN