Provider Demographics
NPI:1225072978
Name:STRICK, ROBERT H (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:H
Last Name:STRICK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 OSGOOD ST
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-5513
Mailing Address - Country:US
Mailing Address - Phone:860-886-0700
Mailing Address - Fax:860-425-5284
Practice Address - Street 1:16 OSGOOD ST
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-5513
Practice Address - Country:US
Practice Address - Phone:860-886-0700
Practice Address - Fax:860-425-5284
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT56001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT002056000Medicaid