MEDICARE: DR. LEONARD H STRAUSS D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0300X	Periodontics	18106	MA

General Provider Information

NPI Number	:	1629019617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEONARD H STRAUSS D.M.D.

Provider Business Mailing Address
First Line	:	18 STATION AVE
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02461-1222
Country	:	US
Telephone Number	:	617-969-9676
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 STATION AVE
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02461-1222
Country	:	US
Telephone Number	:	617-969-9676
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	09/11/2015

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