Provider Demographics
NPI:1366741266
Name:LEE C. CURRIN DDS PA
Entity type:Organization
Organization Name:LEE C. CURRIN DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:CORBITT
Authorized Official - Last Name:CURRIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-496-3033
Mailing Address - Street 1:110 SHANNON VLG
Mailing Address - Street 2:PO BOX 297
Mailing Address - City:LOUISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:27549-2606
Mailing Address - Country:US
Mailing Address - Phone:919-496-3033
Mailing Address - Fax:919-496-3033
Practice Address - Street 1:110 SHANNON VLG
Practice Address - Street 2:
Practice Address - City:LOUISBURG
Practice Address - State:NC
Practice Address - Zip Code:27549-2606
Practice Address - Country:US
Practice Address - Phone:919-496-3033
Practice Address - Fax:919-496-3033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4332261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental