Provider Demographics
NPI:1720603616
Name:CURRY, ASIA LATRELLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ASIA
Middle Name:LATRELLE
Last Name:CURRY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 CHEVY CHASE RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31415-7877
Mailing Address - Country:US
Mailing Address - Phone:706-580-9588
Mailing Address - Fax:
Practice Address - Street 1:755 COMMERCE DR STE 513
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-2618
Practice Address - Country:US
Practice Address - Phone:404-377-7711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-16
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
GADN122459122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program