Provider Demographics
NPI:1811376064
Name:STROEDE ORTHODONTICS
Entity Type:Organization
Organization Name:STROEDE ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:L
Authorized Official - Last Name:STROEDE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-312-7986
Mailing Address - Street 1:15990 S BRADLEY DR
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-3925
Mailing Address - Country:US
Mailing Address - Phone:913-491-3400
Mailing Address - Fax:913-273-1818
Practice Address - Street 1:15990 S BRADLEY DR
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-3925
Practice Address - Country:US
Practice Address - Phone:913-491-3400
Practice Address - Fax:913-273-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental