MEDICARE: STRATMAN FAMILY DENTISTRY PLLC

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	122300000X	Dentist	5711	AZ

General Provider Information

NPI Number	:	1932698719
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRATMAN FAMILY DENTISTRY PLLC

Provider Business Mailing Address
First Line	:	5577 N ORACLE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-3877
Country	:	US
Telephone Number	:	520-745-6871
Fax Number	:	520-790-7710

Provider Business Practice Location Address
First Line	:	5577 N ORACLE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85704-3877
Country	:	US
Telephone Number	:	520-745-6871
Fax Number	:	520-790-7710

Authorized Official
Title or Position	:	OWNER
Name	:	MATTHEW STRATMAN
Credential	:	DDS
Telephone Number	:	520-745-6871

Provider Enumeration Date	:	05/07/2018
Last Update Date	:	05/07/2018

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