Provider Demographics
NPI:1558148296
Name:STRAPP, JARODA NIKKI (DMD)
Entity Type:Individual
Prefix:DR
First Name:JARODA
Middle Name:NIKKI
Last Name:STRAPP
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4209
Mailing Address - Country:US
Mailing Address - Phone:410-776-3900
Mailing Address - Fax:
Practice Address - Street 1:703 BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4209
Practice Address - Country:US
Practice Address - Phone:410-776-3900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18263122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist