DAVID A. DURHAM DDS AND ASSOCIATES PC NPI 1467584854

NPI Information

  • NPI: 1467584854
  • Provider Name: DAVID A. DURHAM DDS AND ASSOCIATES PC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: SOUTHWEST ORAL SURGERY
  • Address: 10000 WATSON RD
    SUITE A
    SAINT LOUIS, MO
    ZIP 63126
  • Phone: (314) 822-3322

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery14054MISSOURIYes

What is NPI?

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This page was last updated on: 11/21/2025

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