Provider Demographics
NPI:1073941084
Name:STRANIGAN, ASKELAND DMD. PA
Entity Type:Organization
Organization Name:STRANIGAN, ASKELAND DMD. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:STRANIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-340-0805
Mailing Address - Street 1:421 S.W. BETHANY DRIVE
Mailing Address - Street 2:
Mailing Address - City:PORT ST. LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986
Mailing Address - Country:US
Mailing Address - Phone:772-340-0805
Mailing Address - Fax:772-340-0453
Practice Address - Street 1:421 SW BETHANY DR
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-2136
Practice Address - Country:US
Practice Address - Phone:772-340-0805
Practice Address - Fax:772-340-0453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-30
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN11707122300000X
FLDN14820122300000X
FLDN15672122300000X
FLDH19254124Q00000X
FLDH1940124Q00000X
FLDH19138124Q00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No124Q00000XDental ProvidersDental HygienistGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty