Healthcare Provider Details

I. General information

NPI: 1497082135
Provider Name (Legal Business Name): CURTIS FAMILY DENTAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2009
Last Update Date: 11/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3310 NORTH MOAPA VALLEY BLVD
LOGANDALE NV
89021-0220
US

IV. Provider business mailing address

PO BOX 220
LOGANDALE NV
89021-0220
US

V. Phone/Fax

Practice location:
  • Phone: 702-398-7802
  • Fax: 702-398-7803
Mailing address:
  • Phone: 702-398-7802
  • Fax: 702-398-7803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License NumberNV2387
License Number StateNV

VIII. Authorized Official

Name: DR. JAMES B CURTIS
Title or Position: DENTIST
Credential: D D S
Phone: 702-398-7802