Provider Demographics
NPI:1497983019
Name:STRANG, MARK R (DMD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:R
Last Name:STRANG
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 1:602 S. BETHLEHEM PIKE
Mailing Address - Street 2:BLDG. A-1
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-5800
Mailing Address - Country:US
Mailing Address - Phone:215-646-0220
Mailing Address - Fax:215-646-2991
Practice Address - Street 1:602 S. BETHLEHEM PIKE
Practice Address - Street 2:BLDG. A-1
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-5800
Practice Address - Country:US
Practice Address - Phone:215-646-0220
Practice Address - Fax:215-646-2991
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPADS 0255261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice