Provider Demographics
NPI:1710083779
Name:CURRANI SEUBERT DENTAL OFFICE LLC
Entity Type:Organization
Organization Name:CURRANI SEUBERT DENTAL OFFICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:CURRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:608-742-2331
Mailing Address - Street 1:260 W COOK ST
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:WI
Mailing Address - Zip Code:53901-2106
Mailing Address - Country:US
Mailing Address - Phone:608-742-2331
Mailing Address - Fax:608-742-4308
Practice Address - Street 1:260 W COOK ST
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:WI
Practice Address - Zip Code:53901
Practice Address - Country:US
Practice Address - Phone:608-742-2331
Practice Address - Fax:608-742-4308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI50020341223G0001X
WI39671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty