Provider Demographics
NPI:1043273311
Name:CURLEY, BRENDAN (DMD)
Entity type:Individual
Prefix:DR
First Name:BRENDAN
Middle Name:
Last Name:CURLEY
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 1:256 GREAT RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LITTLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01460-1916
Mailing Address - Country:US
Mailing Address - Phone:978-486-8261
Mailing Address - Fax:978-486-4437
Practice Address - Street 1:256 GREAT RD
Practice Address - Street 2:SUITE 5
Practice Address - City:LITTLETON
Practice Address - State:MA
Practice Address - Zip Code:01460-1916
Practice Address - Country:US
Practice Address - Phone:978-486-8261
Practice Address - Fax:978-486-4437
Is Sole Proprietor?:No
Enumeration Date:2006-04-08
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA200261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA20026OtherLICENSE NUMBER