Healthcare Provider Details

I. General information

NPI: 1083722565
Provider Name (Legal Business Name): ASHLEY BROOKFIELD STRICKLAND DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 BEE CAVES RD STE C
AUSTIN TX
78746
US

IV. Provider business mailing address

7517 CAMERON ROAD SUITE 107
AUSTIN TX
78752
US

V. Phone/Fax

Practice location:
  • Phone: 512-328-6763
  • Fax: 512-328-7511
Mailing address:
  • Phone: 512-836-3074
  • Fax: 512-836-3252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number22433
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: