# DENTAL ASSOCIATES OF DURANT, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205956521
- **Authorized official:** DR. CHARLES W BACHMANN III D.D.S. (DENTIST)
- **Authorized official phone:** (580) 924-5885

## Contact information

- **Practice address:** 2425 W UNIVERSITY BLVD, DURANT, OK 74701-2944
- **Practice address phone:** (580) 924-5885
- **Practice address fax:** (580) 924-5118
- **Mailing address:** 2425 W UNIVERSITY BLVD, DURANT, OK 74701-2944
- **Mailing address phone:** (580) 924-5885
- **Mailing address fax:** (580) 924-5118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5158 | OK | Yes |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 08/22/2020