MEDICARE: DR. SHONNA RENEE CURRY DDS

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	122300000X	Dentist	DS0000007922	TN

General Provider Information

NPI Number	:	1114907250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHONNA RENEE CURRY DDS

Provider Business Mailing Address
First Line	:	6300 MCCARRAN ST UNIT 2064
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-8121
Country	:	US
Telephone Number	:	702-280-1888
Fax Number	:

Provider Business Practice Location Address
First Line	:	6300 MCCARRAN ST UNIT 2064
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-8121
Country	:	US
Telephone Number	:	702-280-1888
Fax Number	:

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

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	12/23/2010

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