Provider Demographics
NPI:1528334448
Name:CURRY, TARA MARIA (RDH, BS)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:MARIA
Last Name:CURRY
Suffix:
Gender:F
Credentials:RDH, BS
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:MARIA
Other - Last Name:GARIPOLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH, BS
Mailing Address - Street 1:177 JESSICA DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:WV
Mailing Address - Zip Code:25106-8576
Mailing Address - Country:US
Mailing Address - Phone:304-300-0716
Mailing Address - Fax:
Practice Address - Street 1:177 JESSICA DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:WV
Practice Address - Zip Code:25106-8576
Practice Address - Country:US
Practice Address - Phone:304-300-0716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-25
Last Update Date:2012-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2326124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist