Tracy Ellen Durham, D.D.S.

General Practice Dentistry · Pooler, GA

Individual Active NPI

NPI number 1366577322

Practice location

145 Traders Way
Suite D
Pooler, GA 31322-6005
Phone
(912) 748-4494

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NPI record

NPI
1366577322
Entity type
Individual (Type 1)
Enumeration date
February 22, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN011541 GA

About Dr. Durham

Tracy Ellen Durham, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 145 Traders Way, Suite D, Pooler, GA 31322-6005. The NPI number 1366577322 was assigned on February 22, 2007 and the record was last updated on July 8, 2007.

Dr. Durham lists a license in the registry: #DN011541 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tracy Ellen Durham, D.D.S.?

The NPI number is 1366577322.

What is the phone number of Dr. Durham?

The phone number listed for the practice location is (912) 748-4494.

Where is Dr. Durham located?

145 Traders Way, Suite D, Pooler, GA 31322-6005.

What is the taxonomy code for Dr. Durham?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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