Provider Demographics
NPI:1144436288
Name:CURTIS, JOSEPH DALE (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:DALE
Last Name:CURTIS
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 1:306 MUIRS CHAPEL RD
Mailing Address - Street 2:STE C
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-6177
Mailing Address - Country:US
Mailing Address - Phone:336-299-1379
Mailing Address - Fax:336-299-2197
Practice Address - Street 1:306 MUIRS CHAPEL RD
Practice Address - Street 2:STE C
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-6177
Practice Address - Country:US
Practice Address - Phone:336-299-1379
Practice Address - Fax:336-299-2197
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC49751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice