MEDICARE: DR. CURTIS MARION MARSH D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	17740	TX

General Provider Information

NPI Number	:	1083692297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CURTIS MARION MARSH D.D.S.

Provider Business Mailing Address
First Line	:	PSC 41, BOX 5332
Second Line	:
City	:	APO
State	:	AE
Zip	:	09464
Country	:	GB
Telephone Number	:	011441638528887
Fax Number	:

Provider Business Practice Location Address
First Line	:	48TH DENTAL SQUADRON/SGD
Second Line	:	UNIT 5210, BOX 230
City	:	APO
State	:	AE
Zip	:	09461-0230
Country	:	GB
Telephone Number	:	011441638528887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2006
Last Update Date	:	07/21/2022

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