Provider Demographics
NPI:1881814507
Name:JAMES SAMUEL STROEHER, D.D.S., P.C.
Entity type:Organization
Organization Name:JAMES SAMUEL STROEHER, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:STROEHER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:406-782-1779
Mailing Address - Street 1:800 W PLATINUM ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-2200
Mailing Address - Country:US
Mailing Address - Phone:406-782-1779
Mailing Address - Fax:406-782-1779
Practice Address - Street 1:800 W PLATINUM ST
Practice Address - Street 2:SUITE 3
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-2200
Practice Address - Country:US
Practice Address - Phone:406-782-1779
Practice Address - Fax:406-782-1779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1533261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0132288Medicaid
MT015334OtherBLUE CROSS
1337619OtherUNITED CONCORDIA TRICARE
MT5512767OtherCHIP