Doctor Name: | DR. JOHN CARLOS STRITIKUS |
NPI Number: | 1194727123 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S. |
License Number: | DS 7380 |
Business Practice Address: | 118 Highway 70 E Unit One Dickson, TN - 370557039 |
Business Phone Number: | 6157408812 |
Business Fax Number: | 6157408801 |
Mailing Address: | 104 Woodside Dr, DICKSON |
State: | TN |
Postal Code: | 370551538 |
Phone Number: | 6154413595 |
Fax Number: | 6154413595 |
NPI Enumeration Date: | 08/10/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DS 7380 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |