Provider Demographics
NPI:1194986232
Name:STRICKLAND DENTAL, INC.
Entity type:Organization
Organization Name:STRICKLAND DENTAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-419-0000
Mailing Address - Street 1:27714 INTERSTATE 45 N
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE NORTH
Mailing Address - State:TX
Mailing Address - Zip Code:77385-8726
Mailing Address - Country:US
Mailing Address - Phone:281-419-0000
Mailing Address - Fax:281-419-0011
Practice Address - Street 1:27714 INTERSTATE 45 N
Practice Address - Street 2:
Practice Address - City:OAK RIDGE NORTH
Practice Address - State:TX
Practice Address - Zip Code:77385-8726
Practice Address - Country:US
Practice Address - Phone:281-419-0000
Practice Address - Fax:281-419-0011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123361223G0001X
TX282371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty