- Practice location
- 360 Main St Ste D, Durham, CT 06422-1644
- Phone
- 860-349-1123
- Fax
- —
- Last updated
- July 24, 2018
Durham Dental, PLLC is a healthcare organization based in Durham, CT. Durham Dental, PLLC practices in Durham, CT. The NPI Number for Durham Dental, PLLC is 1073090817 and holds a License No. 11861 (CT). The current practice location address for Durham Dental, PLLC is 360 Main St Ste D, Durham, CT 06422-1644 and can be reached out via phone at 860-349-1123.
Provider Profile Details
- NPI Number
- 1073090817
- Provider Name
- Durham Dental, PLLC
- Provider Entity Type
- Organization
- Address
- 360 Main St Ste D, Durham, CT 06422-1644
- Phone Number
- 860-349-1123
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- John Zyzo · Dentist · 203-233-7492
- Provider Enumeration Date
- July 24, 2018
- Last Update Date
- July 24, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 360 Main St Ste D
Durham, CT 06422-1644 - City
- Durham
- State
- Connecticut
- Zip
- 06422-1644
- Phone Number
- 860-349-1123
Provider Business Mailing Address Details
- Address
- 360 Main St Ste D
Durham, CT 06422-1644 - City
- Durham
- State
- CT
- Zip
- 06422-1644
- Phone Number
- 860-349-1123
License Information
- License Number
- 11861
- License State
- CT
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Durham, CT
View all Dentists in Durham →Frequently Asked Questions
What is the NPI number of Durham Dental, PLLC?
The NPI number of Durham Dental, PLLC is 1073090817. It was assigned on July 24, 2018 and is currently active in the NPPES registry.
What is the specialty of Durham Dental, PLLC?
Durham Dental, PLLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 11861.
Where does Durham Dental, PLLC practice?
The practice location is 360 Main St Ste D, Durham, CT 06422-1644. The office can be reached at 860-349-1123 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073090817 directly on the NPPES registry website.