Provider Demographics
NPI:1386730935
Name:CURTIS, GREGORY M (DDS)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:M
Last Name:CURTIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 HWY 4 SOUTH
Mailing Address - Street 2:
Mailing Address - City:SLEEPY EYE
Mailing Address - State:MN
Mailing Address - Zip Code:56085
Mailing Address - Country:US
Mailing Address - Phone:507-794-2180
Mailing Address - Fax:
Practice Address - Street 1:820 HWY 4 SOUTH
Practice Address - Street 2:
Practice Address - City:SLEEPY EYE
Practice Address - State:MN
Practice Address - Zip Code:56085
Practice Address - Country:US
Practice Address - Phone:507-794-2180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND105151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice