Healthcare Provider Details

I. General information

NPI: 1053425082
Provider Name (Legal Business Name): RONALD J. MCCURDY, DDS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 01/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 E MAIN ST
THURMONT MD
21788-2009
US

IV. Provider business mailing address

105 E MAIN ST P.O. BOX 176
THURMONT MD
21788-2009
US

V. Phone/Fax

Practice location:
  • Phone: 301-662-2712
  • Fax: 301-271-4412
Mailing address:
  • Phone: 301-662-2712
  • Fax: 301-271-4412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number08924
License Number StateMD

VIII. Authorized Official

Name: DR. RONALD MCCURDY
Title or Position: PRESIDENT
Credential: DDS
Phone: 301-662-2712