Provider Demographics
NPI:1184821886
Name:STROOP, JOHN R (DMD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:R
Last Name:STROOP
Suffix:
Gender:M
Credentials:DMD
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Mailing Address - Street 1:644 CHEROKEE ST NE
Mailing Address - Street 2:SUITE B
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-8910
Mailing Address - Country:US
Mailing Address - Phone:770-422-8502
Mailing Address - Fax:770-422-7612
Practice Address - Street 1:840 CHURCH ST NE
Practice Address - Street 2:SUITE A 2
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-8936
Practice Address - Country:US
Practice Address - Phone:770-422-8502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA92061223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics