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General NPI Number Information
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NPI Number | 1881779221
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Entity Type | Organization
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Legal Business Name | CURTIS W DAILEY DDS PLLC
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 10/05/2012
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Provider Practice Location Address
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Address Line | 2118 EXECUTIVE DRIVE
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City | HAMPTON
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State | VA
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Zip | 23666
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Country | US
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Telephone | 757-826-5075
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Fax | 757-826-7324
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Provider Business Mailing Address
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Address Line | 2118 EXECUTIVE DRIVE
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City | HAMPTON
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State | VA
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Zip | 23666
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Country | US
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Telephone | 757-826-5075
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Fax | 757-826-7324
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | CURTIS W DAILEY
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Credential | DDS
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Telephone | 757-826-5075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 040140187
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License Number State | VA
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