Provider Demographics
NPI:1407846199
Name:ABBOTT, CURTISS NELSON (D D S)
Entity Type:Individual
Prefix:DR
First Name:CURTISS
Middle Name:NELSON
Last Name:ABBOTT
Suffix:
Gender:M
Credentials:D D S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12948 VILLAGE DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-4157
Mailing Address - Country:US
Mailing Address - Phone:408-255-8411
Mailing Address - Fax:408-255-0122
Practice Address - Street 1:12948 VILLAGE DR
Practice Address - Street 2:SUITE E
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-4157
Practice Address - Country:US
Practice Address - Phone:408-255-8411
Practice Address - Fax:408-255-0122
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25661122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist