Provider Demographics
NPI:1962545855
Name:STRAUSS, JEFFREY J (DDS)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:J
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 1:1880 37TH ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-6591
Mailing Address - Country:US
Mailing Address - Phone:772-770-2588
Mailing Address - Fax:772-770-2608
Practice Address - Street 1:1880 37TH ST
Practice Address - Street 2:SUITE 2
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-6591
Practice Address - Country:US
Practice Address - Phone:772-770-2588
Practice Address - Fax:772-770-2608
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN117081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice