Provider Demographics
NPI:1629019617
Name:STRAUSS, LEONARD H (DMD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:H
Last Name:STRAUSS
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 1:18 STATION AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02461-1222
Mailing Address - Country:US
Mailing Address - Phone:617-969-9676
Mailing Address - Fax:
Practice Address - Street 1:18 STATION AVE
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02461-1222
Practice Address - Country:US
Practice Address - Phone:617-969-9676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA181061223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics