Provider Demographics
NPI:1386765675
Name:STRICKLAND, TODD D (DDS, PA)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:D
Last Name:STRICKLAND
Suffix:
Gender:M
Credentials:DDS, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 E SOUTHLAKE BLVD
Mailing Address - Street 2:600
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-6357
Mailing Address - Country:US
Mailing Address - Phone:817-329-2791
Mailing Address - Fax:
Practice Address - Street 1:1100 E SOUTHLAKE BLVD
Practice Address - Street 2:600
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-6357
Practice Address - Country:US
Practice Address - Phone:817-329-2791
Practice Address - Fax:817-488-0510
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX194131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice