Provider Demographics
NPI:1679647143
Name:STRICKLAND, DONALD R (DMD FAGD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:R
Last Name:STRICKLAND
Suffix:
Gender:M
Credentials:DMD FAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 967
Mailing Address - Street 2:
Mailing Address - City:GARDENDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35071-2909
Mailing Address - Country:US
Mailing Address - Phone:205-631-8761
Mailing Address - Fax:205-631-8762
Practice Address - Street 1:425 DECATUR HIGHWAY
Practice Address - Street 2:
Practice Address - City:GARDENDALE
Practice Address - State:AL
Practice Address - Zip Code:35071-2909
Practice Address - Country:US
Practice Address - Phone:205-631-8761
Practice Address - Fax:205-631-8762
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2825122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist