Provider Demographics
NPI:1205015385
Name:CURTIS, LEIGH BAYER (DMD, MPH)
Entity Type:Individual
Prefix:DR
First Name:LEIGH
Middle Name:BAYER
Last Name:CURTIS
Suffix:
Gender:F
Credentials:DMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 HOLLYWOOD BLVD SE
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32548-5765
Mailing Address - Country:US
Mailing Address - Phone:850-244-8604
Mailing Address - Fax:850-244-3272
Practice Address - Street 1:220 HOLLYWOOD BLVD SE
Practice Address - Street 2:
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32548-5765
Practice Address - Country:US
Practice Address - Phone:850-244-8604
Practice Address - Fax:850-244-3272
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL159521223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics