Healthcare Provider Details
I. General information
NPI: 1225369432
Provider Name (Legal Business Name): DR. CURLEY & ASSOCIATES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/28/2010
Last Update Date: 07/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2029 OLDE REGENT WAY SUITE 150
LELAND NC
28451-4196
US
IV. Provider business mailing address
P.O. BOX 860036
MINNEAPOLIS MN
55486
US
V. Phone/Fax
- Phone: 910-371-9490
- Fax: 216-584-1119
- Phone: 910-371-9490
- Fax: 216-584-1119
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223E0200X |
| Taxonomy | Endodontics |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223P0221X |
| Taxonomy | Pediatric Dentistry |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223P0300X |
| Taxonomy | Periodontics |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223P0700X |
| Taxonomy | Prosthodontics |
| License Number | |
| License Number State | |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223X0400X |
| Taxonomy | Orthodontics and Dentofacial Orthopedics Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOSEPH
CURLEY
Title or Position: DENTIST/OWNER
Credential: DMD
Phone: 800-487-4867