Provider Demographics
NPI:1720426935
Name:DEAN, CURTIS GLENN (DDS)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:GLENN
Last Name:DEAN
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 1:2575 EVELYN BYRD AVE
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3493
Mailing Address - Country:US
Mailing Address - Phone:540-432-2315
Mailing Address - Fax:540-801-8536
Practice Address - Street 1:2575 EVELYN BYRD AVE
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3493
Practice Address - Country:US
Practice Address - Phone:540-432-2315
Practice Address - Fax:540-801-8536
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-10
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401414053122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist