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DAVID A. DURHAM DDS AND ASSOCIATES PC NPI 1467584854


NPI Information

NPI: 1467584854
Provider Name: DAVID A. DURHAM DDS AND ASSOCIATES PC

Doing Business As: SOUTHWEST ORAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
10000 WATSON RD
SUITE A
SAINT LOUIS, MO
ZIP 63126
Phone: (314) 822-3322
Get Directions

DAVID A. DURHAM DDS AND ASSOCIATES PC is an oral and maxillofacial surgery dentist in Saint Louis, MO. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DAVID A. DURHAM DDS AND ASSOCIATES PC NPI is 1467584854. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southwest Oral Surgery.

The provider's business location address is:

10000 WATSON RD
SUITE A
SAINT LOUIS, MO
ZIP 63126-854
Phone: (314) 822-3322
Fax: (314) 822-0537

The provider's authorized official is Gregg William Hosch .
The authorized official title is President and has the following contact phone number (314) 822-3322.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 11/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery14054MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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