Provider Demographics
NPI:1194727123
Name:STRITIKUS, JOHN CARLOS (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CARLOS
Last Name:STRITIKUS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:134 HIGHWAY 70 E UNIT 1
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-2034
Mailing Address - Country:US
Mailing Address - Phone:615-740-8812
Mailing Address - Fax:615-740-8801
Practice Address - Street 1:134 HIGHWAY 70 E UNIT 1
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-2034
Practice Address - Country:US
Practice Address - Phone:615-740-8812
Practice Address - Fax:615-740-8801
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS 73801223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry