Provider Demographics
NPI:1619970712
Name:HOWARD R. STRAUSS, DDS, PA
Entity Type:Organization
Organization Name:HOWARD R. STRAUSS, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:STRAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-777-1100
Mailing Address - Street 1:925 BISHOP WALSH RD
Mailing Address - Street 2:STE 2
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-1845
Mailing Address - Country:US
Mailing Address - Phone:301-777-1100
Mailing Address - Fax:301-777-3135
Practice Address - Street 1:925 BISHOP WALSH RD
Practice Address - Street 2:STE 2
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-1845
Practice Address - Country:US
Practice Address - Phone:301-777-1100
Practice Address - Fax:301-777-3135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-23
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD5688261QS0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD221289OtherMAMSI/MDIPA
MD331331000Medicaid
MD406198476OtherMEDICARE GBA
MDF512-0001OtherBLUE CHOICE (GHMSI)
MDDG9717OtherGBA MEDICARE GROUP
MD421588OtherRENDERING BC/BS CARE 1ST
MD421588OtherRENDERING BC/BS CARE 1ST
MDKR31Medicare PIN