Kurtz, Marshall D

Kurtz, Marshall D is an individual health care provider with primary practice located at 129 Park Ave , Danbury CT 06810-7504. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Kurtz, Marshall D can be contacted via phone (203) 790-0183.

Contact Information

Primary practice address
129 Park Ave Danbury CT 06810-7504
Phone: (203) 790-0183
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 9291 Connecticut

Profile Details

NPI number 1699752287
LBN Legal business name Kurtz, Marshall D
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Jan 17th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699752287 NPPES
Connecticut MEDICAID 002092914

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