MEDICARE: RONALD J CURL DMD

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	1223G0001X	General Practice Dentistry	18901	OH

General Provider Information

NPI Number	:	1659451003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD J CURL DMD

Provider Business Mailing Address
First Line	:	2259 HAYES AVE
Second Line	:
City	:	FREMONT
State	:	OH
Zip	:	43420-2632
Country	:	US
Telephone Number	:	419-332-1091
Fax Number	:	419-332-9991

Provider Business Practice Location Address
First Line	:	2259 HAYES AVE
Second Line	:
City	:	FREMONT
State	:	OH
Zip	:	43420-2632
Country	:	US
Telephone Number	:	419-332-1091
Fax Number	:	419-332-9991

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	07/08/2007

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