Provider Demographics
NPI:1992812937
Name:STRAUSS, JAMES ERIN (DMD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ERIN
Last Name:STRAUSS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 EAST OCEAN BLVD.
Mailing Address - Street 2:SUITE A
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994
Mailing Address - Country:US
Mailing Address - Phone:772-283-6757
Mailing Address - Fax:772-283-8701
Practice Address - Street 1:821 EAST OCEAN BLVD.
Practice Address - Street 2:SUITE A
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994
Practice Address - Country:US
Practice Address - Phone:772-283-6757
Practice Address - Fax:772-283-8701
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN131821223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU68797Medicare UPIN