Provider Demographics
NPI:1215944699
Name:STRAYHORN, WILLIAM ANDREW (DDS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ANDREW
Last Name:STRAYHORN
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 1:120 MALLARD LN
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-5210
Mailing Address - Country:US
Mailing Address - Phone:910-997-6663
Mailing Address - Fax:910-997-6664
Practice Address - Street 1:120 MALLARD LN
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-5210
Practice Address - Country:US
Practice Address - Phone:910-997-6663
Practice Address - Fax:910-997-6664
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8185122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist