Provider Demographics
NPI:1245454644
Name:STRUHS, THEODORE W (DDS,MS)
Entity type:Individual
Prefix:
First Name:THEODORE
Middle Name:W
Last Name:STRUHS
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11355 S PARKER RD STE 109
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7403
Mailing Address - Country:US
Mailing Address - Phone:303-841-2262
Mailing Address - Fax:303-840-9672
Practice Address - Street 1:11355 S PARKER RD STE 109
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7403
Practice Address - Country:US
Practice Address - Phone:303-841-2262
Practice Address - Fax:303-840-9672
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO89101223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics