Dr. Tracy L. Durant, Inc.

LBN: Dr. Tracy L. Durant, Inc.
Dr. Tracy L. Durant, Inc. is an health care organization with primary practice located at 1125 Anderson Rd N Sutie 104, Rock Hill SC 29730-2776. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dr. Tracy L. Durant, Inc. can be contacted via phone (803) 325-8178, or through Durant, Tracy Lyndell via phone 80933258178.

Contact Information

Primary practice address
1125 Anderson Rd N Sutie 104 Rock Hill SC 29730-2776
Phone: (803) 325-8178
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Durant, Tracy Lyndell Doctor of Dental Surgery (DDS)
Phone: 80933258178

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 3506 South Carolina

Profile Details

NPI number 1164697405
LBN Legal business name Dr. Tracy L. Durant, Inc.
DBA Doing business as
Authorized official Durant, Tracy Lyndell Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164697405 NPPES
South Carolina MEDICAID 3506

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