Provider Demographics
NPI:1851020911
Name:STRAHLER, ELISHA (DDS)
Entity Type:Individual
Prefix:
First Name:ELISHA
Middle Name:
Last Name:STRAHLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10619 BRENTRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41051-7987
Mailing Address - Country:US
Mailing Address - Phone:740-629-2432
Mailing Address - Fax:
Practice Address - Street 1:8076 US HIGHWAY 42
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1474
Practice Address - Country:US
Practice Address - Phone:859-282-9741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2023-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDRPM24301223G0001X
FL24301223G0001X
KY108941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice