Provider Demographics
NPI:1417696287
Name:MCCURDY, MOLLY (DDS)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:MCCURDY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 NEW BERN ST APT 550
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-4329
Mailing Address - Country:US
Mailing Address - Phone:239-404-4041
Mailing Address - Fax:
Practice Address - Street 1:175 CROSS CENTER RD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-5009
Practice Address - Country:US
Practice Address - Phone:704-951-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC127281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice