Provider Demographics
NPI:1235142720
Name:DILWORTH, CURTIS MCMURRY JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:MCMURRY
Last Name:DILWORTH
Suffix:JR
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 1:2445 CANDLER RD
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-6400
Mailing Address - Country:US
Mailing Address - Phone:404-288-8880
Mailing Address - Fax:404-288-2006
Practice Address - Street 1:2445 CANDLER RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30032-6400
Practice Address - Country:US
Practice Address - Phone:404-288-8880
Practice Address - Fax:404-288-2006
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN007706122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GABD3065821OtherUS DEA