Provider Demographics
NPI:1255548046
Name:CURTIS, DAVID WILLIAM (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WILLIAM
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 1:6407 COLLEYVILLE BLVD
Mailing Address - Street 2:A
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-6228
Mailing Address - Country:US
Mailing Address - Phone:817-442-1200
Mailing Address - Fax:817-442-1217
Practice Address - Street 1:6407 COLLEYVILLE BLVD
Practice Address - Street 2:A
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-6228
Practice Address - Country:US
Practice Address - Phone:817-442-1200
Practice Address - Fax:817-442-1217
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX141741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAC2788341OtherDEA NUMBER