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Organization

D. KENNON CURTIS JR. DMD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID KENNON CURTIS JR. DMD (OWNER)
(256) 325-6595
Entity
Organization

Contact information

Practice address
7771 HIGHWAY 72 W, STE B, MADISON, AL 35758-8813
(256) 325-6595
(256) 325-6597
Mailing address
7771 HIGHWAY 72 W, STE B, MADISON, AL 35758-8813

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6217 C1
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1487939435
INDIVIDUAL NPI
AL
Enumeration date
11/11/2015
Last updated
11/11/2015
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