Provider Demographics
NPI:1861610388
Name:BECKER, CURTIS MARSHAL (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:MARSHAL
Last Name:BECKER
Suffix:
Gender:M
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5055 E KENTUCKY AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-3900
Mailing Address - Country:US
Mailing Address - Phone:303-756-1877
Mailing Address - Fax:303-584-9516
Practice Address - Street 1:5055 E KENTUCKY AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-3900
Practice Address - Country:US
Practice Address - Phone:303-756-1877
Practice Address - Fax:303-584-9516
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COHD1 000091223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics