Provider Demographics
NPI:1366414849
Name:CURTICE, SCOTT AUSTIN (DMD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:AUSTIN
Last Name:CURTICE
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:PSC 819 BOX 4311
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09645-0044
Mailing Address - Country:US
Mailing Address - Phone:0113495-682-3733
Mailing Address - Fax:
Practice Address - Street 1:U.S. NAVAL HOSPITAL ROTA
Practice Address - Street 2:PSC 819 BOX 18
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09645-0044
Practice Address - Country:US
Practice Address - Phone:0113495-682-3305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA545721223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics