Provider Demographics
NPI:1881818714
Name:PLATT, CURTIS (DDS)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:
Last Name:PLATT
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 1:5247 LAMPSON AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92845-1953
Mailing Address - Country:US
Mailing Address - Phone:714-893-2453
Mailing Address - Fax:714-893-2454
Practice Address - Street 1:5247 LAMPSON AVE
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92845-1953
Practice Address - Country:US
Practice Address - Phone:714-893-2453
Practice Address - Fax:714-893-2454
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2012-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33830122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA33830OtherDENTAL BOARD