Provider Demographics
NPI:1487635025
Name:CURRY, JAY CHADWICK (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:CHADWICK
Last Name:CURRY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:CHAD
Other - Middle Name:
Other - Last Name:CURRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:614 E CLARK BLVD
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-2121
Mailing Address - Country:US
Mailing Address - Phone:615-890-0885
Mailing Address - Fax:615-890-8818
Practice Address - Street 1:614 E CLARK BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-2121
Practice Address - Country:US
Practice Address - Phone:615-890-0885
Practice Address - Fax:615-890-8818
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN73441223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNU88780Medicare UPIN