Provider Demographics
NPI:1902836851
Name:STRAWN, JAMES LOWELL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LOWELL
Last Name:STRAWN
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 1:5054 S 25TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34981-4923
Mailing Address - Country:US
Mailing Address - Phone:772-464-4822
Mailing Address - Fax:772-464-8656
Practice Address - Street 1:5054 S 25TH ST
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34981-4923
Practice Address - Country:US
Practice Address - Phone:772-464-4822
Practice Address - Fax:772-464-8656
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN61631223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice