Provider Demographics
NPI:1366609695
Name:ANDREW J. STROBEL D.D.S., INC
Entity type:Organization
Organization Name:ANDREW J. STROBEL D.D.S., INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:J
Authorized Official - Last Name:STROBEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:440-946-7667
Mailing Address - Street 1:32001 VINE ST
Mailing Address - Street 2:
Mailing Address - City:WILLOWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44095-3572
Mailing Address - Country:US
Mailing Address - Phone:440-944-3000
Mailing Address - Fax:440-944-0881
Practice Address - Street 1:32001 VINE ST
Practice Address - Street 2:
Practice Address - City:WILLOWICK
Practice Address - State:OH
Practice Address - Zip Code:44095-3572
Practice Address - Country:US
Practice Address - Phone:440-944-3000
Practice Address - Fax:440-944-0881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty