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Contact Information

MARK R DURHAM, DMD
4946 YORK ST
METAIRIE, LA70001-1036
 Phone: 504-324-4309
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for MARK R DURHAM · (Male)

NPI # 1316265358
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 05/15/2010
Last updated 05/15/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • LA License # S-492
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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