Ernest Eugene Curry, DDS

Individual provider Active NPI General Practice Dentistry · Willard, MO

NPI 1164510558 · NPPES record last updated Sep 15, 2022

Key facts

NPI
1164510558
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
014142 (MO)
Practice address
304 E Jackson St
Willard, MO 65781-9333
Phone
(417) 742-2555
Fax
(417) 742-4400
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170608002142 MO Order and Referring Only - Dentist
Practitioner - Dentist
8123339199

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 014142 MO Yes

Addresses

Primary practice location

304 E Jackson St
Willard, MO 65781-9333

Mailing address

304 E Jackson St
Willard, MO 65781-9333
Phone (417) 742-2555

Other providers in Willard, MO

All providers in Willard, MO · General Practice Dentistry in Missouri

Sources for this page

Verify at the official NPI Registry.