Provider Demographics
NPI:1912093055
Name:RICHARD K. STRAUS, D.M.D
Entity Type:Organization
Organization Name:RICHARD K. STRAUS, D.M.D
Other - Org Name:MIDTOWN DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:K
Authorized Official - Last Name:STRAUS
Authorized Official - Suffix:SR
Authorized Official - Credentials:DMD
Authorized Official - Phone:706-322-0651
Mailing Address - Street 1:1380 14TH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-2355
Mailing Address - Country:US
Mailing Address - Phone:706-322-0651
Mailing Address - Fax:706-322-0876
Practice Address - Street 1:1380 14TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-2355
Practice Address - Country:US
Practice Address - Phone:706-322-0651
Practice Address - Fax:706-322-0876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADNO100591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty