Healthcare Provider Details

I. General information

NPI: 1003218629
Provider Name (Legal Business Name): CLAIRE STROEDE DDS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2014
Last Update Date: 05/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15990 S BRADLEY DR
OLATHE KS
66062-3925
US

IV. Provider business mailing address

15990 S BRADLEY DR
OLATHE KS
66062-3925
US

V. Phone/Fax

Practice location:
  • Phone: 913-491-3400
  • Fax:
Mailing address:
  • Phone: 913-491-3400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number30.023393
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number2011030940
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number60880
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: