Provider Demographics
NPI:1134129877
Name:GOSS, CURTIS K (DDS)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:K
Last Name:GOSS
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 1:905 ANNADALE RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-4010
Mailing Address - Country:US
Mailing Address - Phone:718-356-3280
Mailing Address - Fax:718-948-6582
Practice Address - Street 1:905 ANNADALE RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-4010
Practice Address - Country:US
Practice Address - Phone:718-356-3280
Practice Address - Fax:718-948-6582
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-22
Last Update Date:2007-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028054122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist