Provider Demographics
NPI:1881711463
Name:URBAN, CURT J (DDS)
Entity type:Individual
Prefix:DR
First Name:CURT
Middle Name:J
Last Name:URBAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14000 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-3297
Mailing Address - Country:US
Mailing Address - Phone:772-589-3127
Mailing Address - Fax:772-589-3127
Practice Address - Street 1:14000 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-3297
Practice Address - Country:US
Practice Address - Phone:772-589-3127
Practice Address - Fax:772-589-3127
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN101831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice