Provider Demographics
NPI:1902985609
Name:STRAWHECKER, TERRENCE (DDS)
Entity type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:
Last Name:STRAWHECKER
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 1:4267 S 144TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-1053
Mailing Address - Country:US
Mailing Address - Phone:402-896-9112
Mailing Address - Fax:402-896-1010
Practice Address - Street 1:4267 S 144TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-1053
Practice Address - Country:US
Practice Address - Phone:402-896-9112
Practice Address - Fax:402-896-1010
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NENE53471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice