Provider Demographics
NPI:1083216246
Name:GLENN R. CURTIS, D.D.S.,P.L.L.C.
Entity Type:Organization
Organization Name:GLENN R. CURTIS, D.D.S.,P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-453-3160
Mailing Address - Street 1:358 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-1237
Mailing Address - Country:US
Mailing Address - Phone:734-453-3160
Mailing Address - Fax:734-453-8223
Practice Address - Street 1:358 N MAIN ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-1237
Practice Address - Country:US
Practice Address - Phone:734-453-3160
Practice Address - Fax:734-453-8223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental