Provider Demographics
NPI:1861583593
Name:STRICK, CHARLES M (DDS)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:M
Last Name:STRICK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:479 ASHFORD AVE
Mailing Address - Street 2:
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-2117
Mailing Address - Country:US
Mailing Address - Phone:914-693-6990
Mailing Address - Fax:914-231-5851
Practice Address - Street 1:479 ASHFORD AVE
Practice Address - Street 2:
Practice Address - City:ARDSLEY
Practice Address - State:NY
Practice Address - Zip Code:10502-2117
Practice Address - Country:US
Practice Address - Phone:914-693-6990
Practice Address - Fax:914-231-5851
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0386351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice