Provider Demographics
NPI:1992787600
Name:CURTIN, MATTHEW P (DMD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:P
Last Name:CURTIN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:174 HIGH ST
Mailing Address - Street 2:STE.114
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-1220
Mailing Address - Country:US
Mailing Address - Phone:978-356-2260
Mailing Address - Fax:978-356-5718
Practice Address - Street 1:174 HIGH ST
Practice Address - Street 2:STE.114
Practice Address - City:IPSWICH
Practice Address - State:MA
Practice Address - Zip Code:01938-1220
Practice Address - Country:US
Practice Address - Phone:978-356-2260
Practice Address - Fax:978-356-5718
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA188391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice