Provider Demographics
NPI:1245400878
Name:JOHN S. STRICKLAND, DDS, PLLC
Entity Type:Organization
Organization Name:JOHN S. STRICKLAND, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:GASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-693-3747
Mailing Address - Street 1:544 FLEMING ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-4216
Mailing Address - Country:US
Mailing Address - Phone:828-693-3747
Mailing Address - Fax:
Practice Address - Street 1:544 FLEMING ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-4216
Practice Address - Country:US
Practice Address - Phone:828-693-3747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC60921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8998156Medicaid
98156OtherBCBS