Provider Demographics
NPI:1588265490
Name:CURTIS VON GUNTEN DMD PA
Entity type:Organization
Organization Name:CURTIS VON GUNTEN DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:VON GUNTEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:352-317-6768
Mailing Address - Street 1:10930 NW 35TH PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-4971
Mailing Address - Country:US
Mailing Address - Phone:352-317-6768
Mailing Address - Fax:
Practice Address - Street 1:23321 NW COUNTY ROAD 236
Practice Address - Street 2:
Practice Address - City:HIGH SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32643-9669
Practice Address - Country:US
Practice Address - Phone:352-317-6768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-06
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental