Provider Demographics
NPI:1316496896
Name:CURTIS, SHELBY ANNELIESE (DMD)
Entity type:Individual
Prefix:DR
First Name:SHELBY
Middle Name:ANNELIESE
Last Name:CURTIS
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 HOWARD ST
Mailing Address - Street 2:APT 1615
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-4007
Mailing Address - Country:US
Mailing Address - Phone:978-760-3663
Mailing Address - Fax:
Practice Address - Street 1:95121 VILLAGGIO DEGLI ULIVI
Practice Address - Street 2:
Practice Address - City:SIGONELLA
Practice Address - State:CATANIA
Practice Address - Zip Code:95121
Practice Address - Country:IT
Practice Address - Phone:314-624-6315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-26
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1001426 - 15122300000X
WI1001426-151223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist