Provider Demographics
NPI:1194438986
Name:KATIE CURTIS WINDHAM DMD PLLC
Entity type:Organization
Organization Name:KATIE CURTIS WINDHAM DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:WINDHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:662-327-0995
Mailing Address - Street 1:300 HOSPITAL DR STE 3
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-1921
Mailing Address - Country:US
Mailing Address - Phone:662-327-0995
Mailing Address - Fax:
Practice Address - Street 1:300 HOSPITAL DR STE 3
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-1921
Practice Address - Country:US
Practice Address - Phone:662-327-0995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty