Provider Demographics
NPI:1083926141
Name:CASKEY, CURTIS PATRICK (DMD)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:PATRICK
Last Name:CASKEY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 W JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-2312
Mailing Address - Country:US
Mailing Address - Phone:601-856-1919
Mailing Address - Fax:601-856-1719
Practice Address - Street 1:218 W JACKSON ST
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-2312
Practice Address - Country:US
Practice Address - Phone:601-856-1919
Practice Address - Fax:601-856-1719
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-06
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3551-10122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist