Provider Demographics
NPI:1942292347
Name:CURTIS, STEVEN REED (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:REED
Last Name:CURTIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 GOSSAGE AVE
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-1928
Mailing Address - Country:US
Mailing Address - Phone:707-762-6524
Mailing Address - Fax:
Practice Address - Street 1:441 GOSSAGE AVE
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-1928
Practice Address - Country:US
Practice Address - Phone:707-762-6524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA123000551223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics