Provider Demographics
NPI:1205998556
Name:STRAUSS, ZACHARY FIDELIS (DDS)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:FIDELIS
Last Name:STRAUSS
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 1:7266 EDGEWORTH RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-1230
Mailing Address - Country:US
Mailing Address - Phone:804-746-5327
Mailing Address - Fax:804-746-7880
Practice Address - Street 1:7266 EDGEWORTH RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-1230
Practice Address - Country:US
Practice Address - Phone:804-746-5327
Practice Address - Fax:804-746-7880
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401411162122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA189854OtherANTHEM BCBS WELLPOINT
VA1777428OtherUNITED CONCORDIA
VA9216395Medicaid