Provider Demographics
NPI:1689610073
Name:MIDDLETON, CURTIS THORNTON (DMD)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:THORNTON
Last Name:MIDDLETON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2415
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05303-2415
Mailing Address - Country:US
Mailing Address - Phone:802-251-0508
Mailing Address - Fax:
Practice Address - Street 1:54 CHICKERING DR
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-8861
Practice Address - Country:US
Practice Address - Phone:802-257-2489
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT016-00007661223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics