Provider Demographics
NPI:1407974371
Name:STRICKER, JOSEPH J (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:J
Last Name:STRICKER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:CRAVEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OFFICE MANAGER
Mailing Address - Street 1:PO BOX 769
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:CA
Mailing Address - Zip Code:95938-0769
Mailing Address - Country:US
Mailing Address - Phone:530-342-2770
Mailing Address - Fax:530-342-7537
Practice Address - Street 1:2500 DURHAM DAYTON HWY
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:CA
Practice Address - Zip Code:95938-9615
Practice Address - Country:US
Practice Address - Phone:530-342-2770
Practice Address - Fax:530-342-7537
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA311411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice