# DAVID A. DURHAM DDS AND ASSOCIATES PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southwest Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467584854
- **Authorized official:** DR. GREGG WILLIAM HOSCH DDS (PRESIDENT)
- **Authorized official phone:** (314) 822-3322

## Contact information

- **Practice address:** 10000 WATSON RD, SUITE A, SAINT LOUIS, MO 63126-1854
- **Practice address phone:** (314) 822-3322
- **Practice address fax:** (314) 822-0537
- **Mailing address:** 10000 WATSON RD, SUITE A, SAINT LOUIS, MO 63126-1854
- **Mailing address phone:** (314) 822-3322
- **Mailing address fax:** (314) 822-0537

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 14054 | MO | Yes |

## Other

- **Enumeration date:** 03/12/2007
- **Last updated:** 11/07/2011