Provider Demographics
NPI:1154797652
Name:CURLEY, STEPHANIE J (DMD)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:J
Last Name:CURLEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:LYNN HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:32444-2351
Mailing Address - Country:US
Mailing Address - Phone:850-265-9593
Mailing Address - Fax:850-265-9592
Practice Address - Street 1:78 LYNN DR
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-4200
Practice Address - Country:US
Practice Address - Phone:850-622-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-19
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN21368122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist