Provider Demographics
NPI:1932343084
Name:STRICKLAND, JOSEPH JASON (DDS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:JASON
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 1:2240 MARKET PLACE BLVD
Mailing Address - Street 2:#140
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-8072
Mailing Address - Country:US
Mailing Address - Phone:214-864-1220
Mailing Address - Fax:
Practice Address - Street 1:2240 MARKET PLACE BLVD
Practice Address - Street 2:#140
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-8072
Practice Address - Country:US
Practice Address - Phone:214-864-1220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23674122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist