Provider Demographics
NPI:1942669924
Name:STRANIGAN, ASKELAND & HARRIS DMDS PA
Entity Type:Organization
Organization Name:STRANIGAN, ASKELAND & HARRIS DMDS PA
Other - Org Name:SAH DENTISTRY
Other - Org Type:Other Name
Authorized Official - Title/Position:VP/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:ASKELAND
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:772-340-0805
Mailing Address - Street 1:421 SW BETHANY DR
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-2136
Mailing Address - Country:US
Mailing Address - Phone:772-340-0805
Mailing Address - Fax:
Practice Address - Street 1:421 SW BETHANY DR
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-2136
Practice Address - Country:US
Practice Address - Phone:772-340-0805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-18
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14820261QD0000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies