Provider Demographics
NPI:1912913294
Name:CURRAN, THOMAS JAMES (DDS)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:JAMES
Last Name:CURRAN
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 1:1700 11TH ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-5050
Mailing Address - Country:US
Mailing Address - Phone:940-767-8308
Mailing Address - Fax:940-767-8635
Practice Address - Street 1:1700 11TH ST
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-5050
Practice Address - Country:US
Practice Address - Phone:940-767-8308
Practice Address - Fax:940-767-8635
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9902122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD09902OtherBCBS