Provider Demographics
NPI:1659446748
Name:RICHARD L CURTIS DDS MS PC
Entity Type:Organization
Organization Name:RICHARD L CURTIS DDS MS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:LINDSAY
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MS
Authorized Official - Phone:801-485-8192
Mailing Address - Street 1:2025 S 1300 E
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84105-3698
Mailing Address - Country:US
Mailing Address - Phone:801-485-8192
Mailing Address - Fax:801-487-6818
Practice Address - Street 1:2025 S 1300 E
Practice Address - Street 2:SUITE 1
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84105-3698
Practice Address - Country:US
Practice Address - Phone:801-485-8192
Practice Address - Fax:801-487-6818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT21791223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty