Provider Demographics
NPI:1578772885
Name:HENLEY, CURTIS RAY II (DDS)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:RAY
Last Name:HENLEY
Suffix:II
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 1:7450 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-7223
Mailing Address - Country:US
Mailing Address - Phone:757-564-0804
Mailing Address - Fax:757-564-0819
Practice Address - Street 1:7450 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-7223
Practice Address - Country:US
Practice Address - Phone:757-564-0804
Practice Address - Fax:757-564-0819
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010072881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice