Kathleen Marie Durham, DMD

Dentist · Waterloo, IA

Individual Active NPI

NPI number 1679721872

Practice location

1501 E Orange Rd
Grundy Hall, Room 152
Waterloo, IA 50701-9014
Phone
(319) 296-1030
Fax
(319) 296-4450

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NPI record

NPI
1679721872
Entity type
Individual (Type 1)
Enumeration date
September 3, 2008
Last updated
September 3, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 08379 IA

Mailing address

1501 E Orange Rd
PO Box 8015
Waterloo, IA 50701-9014
Phone
(319) 296-1030
Fax
(319) 296-4450

About Dr. Durham

Kathleen Marie Durham, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1501 E Orange Rd, Grundy Hall, Room 152, Waterloo, IA 50701-9014. The NPI number 1679721872 was assigned on September 3, 2008 and the record was last updated on September 3, 2008.

Dr. Durham lists a license in the registry: #08379 (IA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kathleen Marie Durham, DMD?

The NPI number is 1679721872.

What is the phone number of Dr. Durham?

The phone number listed for the practice location is (319) 296-1030.

Where is Dr. Durham located?

1501 E Orange Rd, Grundy Hall, Room 152, Waterloo, IA 50701-9014.

What is the taxonomy code for Dr. Durham?

The primary taxonomy code is 122300000X – Dentist.

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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