Provider Demographics
NPI:1639296650
Name:CURTIS, ERIC KAY (DDS)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:KAY
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 1:1530 S 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAFFORD
Mailing Address - State:AZ
Mailing Address - Zip Code:85546-4051
Mailing Address - Country:US
Mailing Address - Phone:928-428-5331
Mailing Address - Fax:928-428-0992
Practice Address - Street 1:1530 S 20TH AVE
Practice Address - Street 2:
Practice Address - City:SAFFORD
Practice Address - State:AZ
Practice Address - Zip Code:85546-4051
Practice Address - Country:US
Practice Address - Phone:928-428-5331
Practice Address - Fax:928-428-0992
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ34581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice