Provider Demographics
NPI:1114008026
Name:STRAMBACK, DAVID MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:STRAMBACK
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 1:4 PENN ELMER DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08510-1730
Mailing Address - Country:US
Mailing Address - Phone:732-792-2029
Mailing Address - Fax:
Practice Address - Street 1:100 BELCHASE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-9728
Practice Address - Country:US
Practice Address - Phone:732-290-1660
Practice Address - Fax:732-290-1006
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0180751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice