Provider Demographics
NPI:1083169569
Name:F SMITH STRICKLAND DDS PLLC
Entity Type:Organization
Organization Name:F SMITH STRICKLAND DDS PLLC
Other - Org Name:OMNIDENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FONDA
Authorized Official - Middle Name:SMITH
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-287-7283
Mailing Address - Street 1:1114 OLD STONE LN
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-3853
Mailing Address - Country:US
Mailing Address - Phone:336-287-7283
Mailing Address - Fax:
Practice Address - Street 1:1114 OLD STONE LN
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-3853
Practice Address - Country:US
Practice Address - Phone:336-287-7283
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9407122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty