Provider Demographics
NPI:1174599740
Name:STROHMEYER, MATTHEW F (DDS)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:F
Last Name:STROHMEYER
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 1:8764 MANCHESTER RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BRENTWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63144-2735
Mailing Address - Country:US
Mailing Address - Phone:314-968-2483
Mailing Address - Fax:314-968-2559
Practice Address - Street 1:8764 MANCHESTER RD
Practice Address - Street 2:SUITE 200
Practice Address - City:BRENTWOOD
Practice Address - State:MO
Practice Address - Zip Code:63144-2735
Practice Address - Country:US
Practice Address - Phone:314-968-2483
Practice Address - Fax:314-968-2559
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20040133221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice