Individual
STEVEN D. STRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
112 E 10TH ST, GREENSBURG, IN 47240-8202
(812) 663-2503
(812) 663-6665
Mailing address
112 E 10TH ST, GREENSBURG, IN 47240-8202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7386
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098450A
—
IN
Enumeration date
04/18/2007
Last updated
05/29/2009
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