Provider Demographics
NPI:1124174610
Name:SUSAN J. CURLEY, DDS,PA
Entity type:Organization
Organization Name:SUSAN J. CURLEY, DDS,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:CURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:732-681-8604
Mailing Address - Street 1:1540 STATE ROUTE 138
Mailing Address - Street 2:SUITE 305
Mailing Address - City:WALL
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-3763
Mailing Address - Country:US
Mailing Address - Phone:732-681-8604
Mailing Address - Fax:732-681-8605
Practice Address - Street 1:1540 STATE ROUTE 138
Practice Address - Street 2:SUITE 305
Practice Address - City:WALL
Practice Address - State:NJ
Practice Address - Zip Code:07719-3763
Practice Address - Country:US
Practice Address - Phone:732-681-8604
Practice Address - Fax:732-681-8605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0147641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty