Tracy E. Durham DDS PC

General Practice Dentistry · Pooler, GA

Organization Active NPI

NPI number 1730214735

Practice location

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

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NPI record

NPI
1730214735
Entity type
Organization (Type 2)
Enumeration date
February 22, 2007
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN011541 GA

Authorized official

Name
Dr. Tracy Ellen Durham, D.D.S.
Title
President
Phone
(912) 748-4494

About Tracy E. Durham DDS PC

Tracy E. Durham DDS PC is a healthcare organization 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 1730214735 was assigned on February 22, 2007 and the record was last updated on August 22, 2020.

Tracy E. Durham DDS PC 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.

The authorized official for this organization is Dr. Tracy Ellen Durham, D.D.S., President.

Frequently asked questions

What is the NPI number of Tracy E. Durham DDS PC?

The NPI number is 1730214735.

What is the phone number of Tracy E. Durham DDS PC?

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

Where is Tracy E. Durham DDS PC located?

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

What is the taxonomy code for Tracy E. Durham DDS PC?

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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