Provider Demographics
NPI:1265762587
Name:CURT DEGNER, DDS, P.C.
Entity type:Organization
Organization Name:CURT DEGNER, DDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CURT
Authorized Official - Middle Name:
Authorized Official - Last Name:DEGNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:815-547-7240
Mailing Address - Street 1:502 LOGAN AVE
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:IL
Mailing Address - Zip Code:61008-4437
Mailing Address - Country:US
Mailing Address - Phone:815-547-7240
Mailing Address - Fax:
Practice Address - Street 1:502 LOGAN AVE
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:IL
Practice Address - Zip Code:61008-4437
Practice Address - Country:US
Practice Address - Phone:815-547-7240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty