Provider Demographics
NPI:1467676320
Name:CURLEY, CHARLIE (DDS)
Entity Type:Individual
Prefix:
First Name:CHARLIE
Middle Name:
Last Name:CURLEY
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 1:609 MAITLAND AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-6840
Mailing Address - Country:US
Mailing Address - Phone:407-830-9800
Mailing Address - Fax:
Practice Address - Street 1:609 MAITLAND AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-6840
Practice Address - Country:US
Practice Address - Phone:407-830-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN15388122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist