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NPI Code Detail

MEDICARE: DR. DAVID WHITE STROUP DDS

MEDICARE:  DR. DAVID WHITE STROUP  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry5638NC

General Provider Information

NPI Number : 1306910179
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID WHITE STROUP DDS
Provider Business Mailing Address
First Line : 330 BILLINGSLEY ROAD
Second Line : SUITE 208
City : CHARLOTTE
State : NC
Zip : 28211-5020
Country : US
Telephone Number : 704-364-9901
Fax Number : 704-364-9902
Provider Business Practice Location Address
First Line : 330 BILLINGSLEY ROAD
Second Line : SUITE 208
City : CHARLOTTE
State : NC
Zip : 28211-5020
Country : US
Telephone Number : 704-364-9901
Fax Number : 704-364-9902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID WHITE STROUP DDS” Practice Location

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