Provider Demographics
NPI:1669412227
Name:STRAUSS, EDWARD JOHN JR (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:JOHN
Last Name:STRAUSS
Suffix:JR
Gender:M
Credentials:DDS, MS
Other - Prefix:DR
Other - First Name:E
Other - Middle Name:JOHN
Other - Last Name:STRAUSS
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:DDS, MS
Mailing Address - Street 1:789 N ST RT 7
Mailing Address - Street 2:
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-0407
Mailing Address - Country:US
Mailing Address - Phone:740-446-7554
Mailing Address - Fax:740-446-8245
Practice Address - Street 1:789 STATE ROUTE 7 N
Practice Address - Street 2:
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631-9411
Practice Address - Country:US
Practice Address - Phone:740-446-7554
Practice Address - Fax:740-446-8245
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH147201223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics