Lisa M Duncan Strieter DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12010490 Issued in IN

Legal business name

LISA M DUNCAN STRIETER DDS LLC

Practice address

948 Manchester Ave
Wabash, IN 46992-1640

Phone

(260) 563-7322

Fax

(260) 563-8653

NPI assigned

Apr 21, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lisa M Strieter, DDSNPI 1689693806

Title

Owner

Phone

(260) 563-7322

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Strieter, DDS

  • General Practice Dentistry
  • South Bend, IN
  • NPI 1689693806
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1720475494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 MANCHESTER AVE",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921640",
            "telephone_number": "260-563-7322",
            "fax_number": "260-563-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 MANCHESTER AVE",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469921640",
            "telephone_number": "260-563-7322",
            "fax_number": "260-563-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M DUNCAN STRIETER DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "STRIETER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-563-7322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12010490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Wabash, IN
• Providers in Wabash, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.