Individual provider Active NPI

Phillip Michael Strickland

  • Pediatric Dentistry
  • Savannah, GA
National Provider Identifier
1710278403
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN014298 Issued in GA
Practice address
4849 Paulsen St Ste 101
Savannah, GA 31405-4424
Phone
(912) 298-5437
Fax
(912) 298-5438
NPI assigned
Apr 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN014298 GA Primary

Addresses

Primary practice location

4849 Paulsen St Ste 101
Savannah, GA 31405-4424

Mailing address

847 Old Greenville Rd
Fayetteville, GA 30215-5939

Other practice location 1

123 Hill Pond Ln
Statesboro, GA 30458-0872
Phone (912) 402-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN014298GAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dogwood Pediatric Dentistry of Statesboro, LLC Pediatric Dentistry Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1710278403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 OLD GREENVILLE RD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302155939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 PAULSEN ST STE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054424",
            "telephone_number": "912-298-5437",
            "fax_number": "912-298-5438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Hill Pond Ln",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304580872",
            "country_code": "US",
            "telephone_number": "912-402-5437",
            "fax_number": "912-298-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "PHILLIP",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN014298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.