Provider Demographics
NPI:1467532176
Name:IMEL, CURTIS ROY (DDS PC)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:ROY
Last Name:IMEL
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Gender:M
Credentials:DDS PC
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Mailing Address - Street 1:2050 MARQUETTE ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PERU
Mailing Address - State:IL
Mailing Address - Zip Code:61354
Mailing Address - Country:US
Mailing Address - Phone:815-224-2355
Mailing Address - Fax:815-224-2258
Practice Address - Street 1:2050 MARQUETTE ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:PERU
Practice Address - State:IL
Practice Address - Zip Code:61354
Practice Address - Country:US
Practice Address - Phone:815-224-2355
Practice Address - Fax:815-224-2258
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics