Provider Demographics
NPI:1245386663
Name:STRASSBERGER, GERALD (DMD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:
Last Name:STRASSBERGER
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 1:8 HOLLOW SPRING RD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854-3414
Mailing Address - Country:US
Mailing Address - Phone:203-866-5349
Mailing Address - Fax:
Practice Address - Street 1:16 RIVER ST
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-3402
Practice Address - Country:US
Practice Address - Phone:203-853-2545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT48701223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics