Healthcare Provider Details

I. General information

NPI: 1497813836
Provider Name (Legal Business Name): BRIAN CURTIS DEWEY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 SOUTH DIXIE HWY
WEST PALM BEACH FL
33405
US

IV. Provider business mailing address

6000 SOUTH DIXIE HWY
WEST PALM BEACH FL
33405
US

V. Phone/Fax

Practice location:
  • Phone: 561-582-7660
  • Fax: 561-588-7316
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN10022
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: