Provider Demographics
NPI:1396860193
Name:WARREN, CURT ALAN (DDS)
Entity Type:Individual
Prefix:
First Name:CURT
Middle Name:ALAN
Last Name:WARREN
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 1:10439 COMMERCE DR.
Mailing Address - Street 2:SUITE 120
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-7605
Mailing Address - Country:US
Mailing Address - Phone:317-876-3636
Mailing Address - Fax:317-876-3336
Practice Address - Street 1:10439 COMMERCE DR.
Practice Address - Street 2:SUITE 120
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-7605
Practice Address - Country:US
Practice Address - Phone:317-876-3636
Practice Address - Fax:317-876-3336
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120099861223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics