Healthcare Provider Details

I. General information

NPI: 1942669924
Provider Name (Legal Business Name): STRANIGAN, ASKELAND & HARRIS DMDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2016
Last Update Date: 03/02/2022
Certification Date: 02/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 SW BETHANY DR
PORT ST LUCIE FL
34986-2136
US

IV. Provider business mailing address

421 SW BETHANY DR
PORT ST LUCIE FL
34986-2136
US

V. Phone/Fax

Practice location:
  • Phone: 772-340-0805
  • Fax:
Mailing address:
  • Phone: 772-340-0805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number14820
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. RYAN E ASKELAND
Title or Position: VP/PARTNER
Credential: DMD
Phone: 772-340-0805