MEDICARE: DR. CURTIS D SPANN 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	1223G0001X	General Practice Dentistry	10738	MD

General Provider Information

NPI Number	:	1306280680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CURTIS D SPANN DDS

Provider Business Mailing Address
First Line	:	3250 N PINAL PKWY
Second Line	:
City	:	FLORENCE
State	:	AZ
Zip	:	85132-9459
Country	:	US
Telephone Number	:	520-868-2048
Fax Number	:

Provider Business Practice Location Address
First Line	:	3250 N PINAL PKWY
Second Line	:
City	:	FLORENCE
State	:	AZ
Zip	:	85132-9459
Country	:	US
Telephone Number	:	520-868-2048
Fax Number	:

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

Provider Enumeration Date	:	04/17/2013
Last Update Date	:	04/17/2013

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