Provider Demographics
NPI:1619042934
Name:CURETON, STEVEN LEE (DMD MS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LEE
Last Name:CURETON
Suffix:
Gender:M
Credentials:DMD MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 NORTH EASTMAN ROAD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37664
Mailing Address - Country:US
Mailing Address - Phone:423-246-7121
Mailing Address - Fax:423-246-8510
Practice Address - Street 1:1201 NORTH EASTMAN ROAD
Practice Address - Street 2:SUITE 310
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37664
Practice Address - Country:US
Practice Address - Phone:423-246-7121
Practice Address - Fax:423-246-8510
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN76071223X0400X
KY58031223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
000515389OtherUNITED CONCORDIA
229715OtherANTHEM
TN3163152OtherBCBS
6081799418OtherMETLIFE
6081799418OtherAETNA
44410700OtherUNITED HEALTH CARE
304730OtherAMERITAS
304730OtherAMERITAS