Provider Demographics
NPI:1083831432
Name:KRAUS, WILLIAM M (DMD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:M
Last Name:KRAUS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-1743
Mailing Address - Country:US
Mailing Address - Phone:908-237-1120
Mailing Address - Fax:
Practice Address - Street 1:18 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1743
Practice Address - Country:US
Practice Address - Phone:908-237-1120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01715000122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist