Provider Demographics
NPI:1750465456
Name:STRICKLAND, EDWIN WINSTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:WINSTON
Last Name:STRICKLAND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 SPRING STREET
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:MS
Mailing Address - Zip Code:39367
Mailing Address - Country:US
Mailing Address - Phone:601-735-1103
Mailing Address - Fax:601-735-0420
Practice Address - Street 1:806 SPRING STREET
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:MS
Practice Address - Zip Code:39367
Practice Address - Country:US
Practice Address - Phone:601-735-1103
Practice Address - Fax:601-735-0420
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS191580122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00660218Medicaid