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General NPI Number Information
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NPI Number | 1487939435
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Entity Type | Individual
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Provider Name | DAVID KENNON CURTIS JR. D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/20/2011
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 7771 HIGHWAY 72 W STE B
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City | MADISON
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State | AL
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Zip | 35758-8814
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Country | US
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Telephone | 256-724-1625
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Fax |
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Provider Business Mailing Address
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Address Line | 8239 MADISON BLVD
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City | MADISON
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State | AL
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Zip | 35758
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Country | US
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Telephone | 256-325-6595
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Fax | 256-325-6597
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3611-11
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 6217
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License Number State | AL
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