Basic Information
Provider Information
NPI: 1003541384
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURRIER
FirstName: DAVID
MiddleName:  
NamePrefix: DR.
NameSuffix: JR.
Credential: DMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6827 TITAN PARK
Address2:  
City: CONVERSE
State: TX
PostalCode: 781091862
CountryCode: US
TelephoneNumber: 7042992170
FaxNumber:  
Practice Location
Address1: 2940 STANLEY RD
Address2:  
City: FORT SAM HOUSTON
State: TX
PostalCode: 782342740
CountryCode: US
TelephoneNumber: 2102954095
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/20/2022
LastUpdateDate: 07/20/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
122300000X12943332-9941UTY Dental ProvidersDentist 

No ID Information.


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