Healthcare Provider Details
I. General information
NPI: 1881814507
Provider Name (Legal Business Name): JAMES SAMUEL STROEHER, D.D.S., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 W PLATINUM ST SUITE 3
BUTTE MT
59701-2200
US
IV. Provider business mailing address
800 W PLATINUM ST SUITE 3
BUTTE MT
59701-2200
US
V. Phone/Fax
- Phone: 406-782-1779
- Fax: 406-782-1779
- Phone: 406-782-1779
- Fax: 406-782-1779
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | 1533 |
| License Number State | MT |
VIII. Authorized Official
Name: DR.
JAMES
SAMUEL
STROEHER
Title or Position: PRESIDENT
Credential: D.D.S.
Phone: 406-782-1779