Provider Demographics
NPI:1669176772
Name:STROBEL, HEBER MENG (DDS)
Entity type:Individual
Prefix:DR
First Name:HEBER
Middle Name:MENG
Last Name:STROBEL
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 1:59 PROFESSIONAL PLZ
Mailing Address - Street 2:
Mailing Address - City:REXBURG
Mailing Address - State:ID
Mailing Address - Zip Code:83440-2024
Mailing Address - Country:US
Mailing Address - Phone:208-356-4400
Mailing Address - Fax:208-356-4215
Practice Address - Street 1:59 PROFESSIONAL PLZ
Practice Address - Street 2:
Practice Address - City:REXBURG
Practice Address - State:ID
Practice Address - Zip Code:83440-2024
Practice Address - Country:US
Practice Address - Phone:208-356-4400
Practice Address - Fax:208-356-4215
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-30
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA390200000X
IDD-5516122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program