Healthcare Provider Details
I. General information
NPI: 1295838373
Provider Name (Legal Business Name): JAMES RUSSELL STRICKLAND DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/06/2006
Last Update Date: 09/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3402 HIGHWAY 6 S STE C
HOUSTON TX
77082-4207
US
IV. Provider business mailing address
2536 AMHERST ST STE A
HOUSTON TX
77005-3207
US
V. Phone/Fax
- Phone: 281-759-5900
- Fax:
- Phone: 713-490-8880
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | 5028 |
| License Number State | AL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | 23151 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: