Livengood, Curtis D

Livengood, Curtis D is an individual health care provider with primary practice located at 2727 First Ave Se , Cedar Rapids IA 52402. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Livengood, Curtis D can be contacted via phone (319) 363-2643.

Contact Information

Primary practice address
2727 First Ave Se Cedar Rapids IA 52402
Fax: (319) 363-8886
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 5515 Iowa

Profile Details

NPI number 1780664870
LBN Legal business name Livengood, Curtis D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jul 8th, 2007 - about 18 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 1780664870 NPPES
Iowa MEDICAID 0064428

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