Provider Demographics
NPI:1609883057
Name:STROHMEYER, CHRISTIAN ROBERT (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:ROBERT
Last Name:STROHMEYER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 WINDSOR AVE
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-1326
Mailing Address - Country:US
Mailing Address - Phone:563-557-7400
Mailing Address - Fax:563-557-9836
Practice Address - Street 1:3300 WINDSOR AVE
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52001-1326
Practice Address - Country:US
Practice Address - Phone:563-557-7400
Practice Address - Fax:563-557-9836
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA080521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0211953Medicaid
IAV00247Medicare UPIN