MEDICARE: DR. ROBERT ARTHUR STRATHMAN D.D.S.

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
1	1223P0300X	Periodontics	14135	MO

General Provider Information

NPI Number	:	1316034895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ARTHUR STRATHMAN D.D.S.

Provider Business Mailing Address
First Line	:	2141 HUNTERS WAY CT
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63017-5025
Country	:	US
Telephone Number	:	636-519-9504
Fax Number	:

Provider Business Practice Location Address
First Line	:	15421 CLAYTON RD STE 203
Second Line	:
City	:	BALLWIN
State	:	MO
Zip	:	63011-3161
Country	:	US
Telephone Number	:	636-394-9177
Fax Number	:	636-394-6911

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	07/08/2007

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