Provider Demographics
NPI:1801894530
Name:STRITTMATTER, EDWARD JOHN JR (DDS)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:JOHN
Last Name:STRITTMATTER
Suffix:JR
Gender:M
Credentials:DDS
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Mailing Address - Street 1:5957 CENTREVILLE CREST LN
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-2344
Mailing Address - Country:US
Mailing Address - Phone:703-815-3636
Mailing Address - Fax:703-815-1668
Practice Address - Street 1:5957 CENTREVILLE CREST LN
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-2344
Practice Address - Country:US
Practice Address - Phone:703-815-3636
Practice Address - Fax:703-815-1668
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA04010078911223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics