Provider Demographics
NPI:1134136633
Name:KRAUSS, STEVEN ELY (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ELY
Last Name:KRAUSS
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:VILLAGE CROSSING DENTISTRY, LTD
Mailing Address - Street 2:7133 CENTRAL AVE
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-3275
Mailing Address - Country:US
Mailing Address - Phone:847-675-3368
Mailing Address - Fax:847-675-3362
Practice Address - Street 1:VILLAGE CROSSING DENTISTRY, LTD.
Practice Address - Street 2:7133 CENTRAL AVE
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-3275
Practice Address - Country:US
Practice Address - Phone:847-675-3368
Practice Address - Fax:847-675-3362
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice