Provider Demographics
NPI:1932639044
Name:STROYAN, CARSON JAMES (DMD)
Entity Type:Individual
Prefix:DR
First Name:CARSON
Middle Name:JAMES
Last Name:STROYAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 SPENCER ST APT 110
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766-1383
Mailing Address - Country:US
Mailing Address - Phone:509-936-2858
Mailing Address - Fax:
Practice Address - Street 1:11 ELDRIDGE ST STE 300
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1022
Practice Address - Country:US
Practice Address - Phone:603-678-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2017-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH043071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice