Dickson Pediatric Dentistry PLLC
Dentist, Pediatric Dentistry in Dickson, TN. Organization (NPI-2).
NPI number1407023971
StatusActive
Last updated in NPPESMar 21, 2024
Details
- NPI
- 1407023971
- Entity type
- Organization (NPI-2)
- Legal business name
- Dickson Pediatric Dentistry PLLC
- Organization subpart
- No
- Enumeration date
- May 13, 2008
- Certification date
- Mar 21, 2024
- Last updated
- Mar 21, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | DS7380 | TN | Yes |
Practice location
134 Highway 70 E Unit 1Dickson, TN 37055-2034
Phone 615-740-8812 · Fax 615-740-8801
Mailing address
134 Highway 70 E Unit 1Dickson, TN 37055-2034
Phone 615-740-8812 · Fax 615-740-8801
Authorized official
John Carlos Stritikus
Dentist Owner
6157408812
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