Provider Demographics
NPI:1376051797
Name:CAROLINE CURTIS DMD PC
Entity Type:Organization
Organization Name:CAROLINE CURTIS DMD PC
Other - Org Name:EAGLE VIEW FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:907-694-5207
Mailing Address - Street 1:16635 CENTERFIELD DR STE 207
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-7746
Mailing Address - Country:US
Mailing Address - Phone:907-694-5207
Mailing Address - Fax:907-694-5213
Practice Address - Street 1:16635 CENTERFIELD DR STE 207
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7746
Practice Address - Country:US
Practice Address - Phone:907-694-5207
Practice Address - Fax:907-694-5213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1424261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental