Provider Demographics
NPI:1811990955
Name:STRAUSS, HOWARD ROBERT (DDS)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:ROBERT
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 1:925 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
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD56881223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD221289OtherMAMSI/MDIPA
MD406198476OtherMEDICARE GBA
MDF512-0001OtherBLUE CHOICE (GHMSI)
MD331-331-000Medicaid
MD421588OtherRENDERING BC/BC CARE FIRS
MDF512-0001OtherBLUE CHOICE (GHMSI)
MDT59685Medicare UPIN