Provider Demographics
NPI:1386213924
Name:CURRY, HANNAH GAYLE (DMD)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:GAYLE
Last Name:CURRY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 RIDGEWOOD AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-3579
Mailing Address - Country:US
Mailing Address - Phone:931-215-3752
Mailing Address - Fax:
Practice Address - Street 1:1068 LAKE ST S STE 209
Practice Address - Street 2:
Practice Address - City:FOREST LAKE
Practice Address - State:MN
Practice Address - Zip Code:55025-2634
Practice Address - Country:US
Practice Address - Phone:651-464-2248
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-18
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND145971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice