Ellie Strasser DDS INC
Dentist, General Practice in Antioch, CA. Organization (NPI-2).
NPI number1114708484
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1114708484
- Entity type
- Organization (NPI-2)
- Legal business name
- Ellie Strasser DDS INC
- Organization subpart
- No
- Enumeration date
- Oct 11, 2023
- Certification date
- Oct 11, 2023
- Last updated
- Oct 11, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Diablo Dentistry (Doing Business As)
Practice location
3436 Hillcrest Ave Ste 150Antioch, CA 94531-6305
Phone 925-303-2615
Mailing address
49 Birch AveCorte Madera, CA 94925-1054
Authorized official
Elham Strasser
Dentist
4152509501
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