Healthcare Provider Details

I. General information

NPI: 1508845108
Provider Name (Legal Business Name): DENNIS J. CURTIS O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2006
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2480 LLEWELLYN AVE
FORT MEADE MD
20755-7081
US

IV. Provider business mailing address

1267 PEBBLEBROOK RD
WARMINSTER PA
18974-2237
US

V. Phone/Fax

Practice location:
  • Phone: 301-677-8752
  • Fax:
Mailing address:
  • Phone: 215-674-3704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0618000460
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: