Healthcare Provider Details

I. General information

NPI: 1275093411
Provider Name (Legal Business Name): CHAD MATTHEW CURTIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2019
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 N FLAGLER DR STE 5200
WEST PALM BEACH FL
33401-3410
US

IV. Provider business mailing address

1411 N FLAGLER DR STE 5200
WEST PALM BEACH FL
33401-3410
US

V. Phone/Fax

Practice location:
  • Phone: 561-833-6880
  • Fax:
Mailing address:
  • Phone: 561-833-6880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDN28836
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: