MEDICARE: DARRELL CURTIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DS038891	PA

General Provider Information

NPI Number	:	1376823427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARRELL CURTIS

Provider Business Mailing Address
First Line	:	395 SAINT JOHNS CHURCH RD STE 202
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-5750
Country	:	US
Telephone Number	:	717-550-4040
Fax Number	:

Provider Business Practice Location Address
First Line	:	395 SAINT JOHNS CHURCH RD STE 202
Second Line	:
City	:	CAMP HILL
State	:	PA
Zip	:	17011-5750
Country	:	US
Telephone Number	:	717-550-4040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2011
Last Update Date	:	02/08/2023

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Directions to “ DARRELL CURTIS ” Practice Location

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