Durham, Laura C
Durham, Laura C is an sole proprietor health care provider with primary practice located at 102 Crescent W , Griffin GA 30224-4862. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Durham, Laura C can be contacted via phone (770) 412-8636.Contact Information
Primary practice address
102 Crescent W
Griffin GA 30224-4862
Phone: (770) 412-8636
Fax: (770) 412-7019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 9412 | Georgia |
Profile Details
| NPI number | 1023109378 |
|---|---|
| LBN Legal business name | Durham, Laura C |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023109378 | NPPES |
| Georgia | MEDICAID | 00345078A |
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