Healthcare Provider Details

I. General information

NPI: 1699732545
Provider Name (Legal Business Name): MICHAEL JAMES STRANG DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 S 3RD ST
DAYTON WA
99328-1606
US

IV. Provider business mailing address

1002 S 3RD ST
DAYTON WA
99328-1606
US

V. Phone/Fax

Practice location:
  • Phone: 509-382-2589
  • Fax: 509-382-2072
Mailing address:
  • Phone: 509-382-2589
  • Fax: 509-382-2072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number5872
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: