Individual
MR. CURTIS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5624 TILDEN AVE, BROOKLYN, NY 11203-4820
(718) 451-5012
(718) 451-5037
Mailing address
5624 TILDEN AVE, BROOKLYN, NY 11203-4820
(718) 451-5012
(718) 451-5037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042813
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012317
AETNA DMO
NY
05
—
01238242
—
NY
01
—
0133376
DORAL DENTAL
NY
01
—
D000659-01
AMERICHOICE
NY
Enumeration date
11/02/2005
Last updated
07/26/2013
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