Provider Demographics
NPI:1104824481
Name:MCCURRY, KEVIN SCOTT (DDS)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:SCOTT
Last Name:MCCURRY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 N CONNOR ST
Mailing Address - Street 2:#2
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-4315
Mailing Address - Country:US
Mailing Address - Phone:307-675-1905
Mailing Address - Fax:307-675-1908
Practice Address - Street 1:145 N CONNOR ST
Practice Address - Street 2:#2
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-4315
Practice Address - Country:US
Practice Address - Phone:307-675-1905
Practice Address - Fax:307-675-1908
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-12
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37351122300000X
WY1258122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist