# DURBIN DENTAL

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

## Provider details

- **NPI number:** 1538275284
- **Authorized official:** DR. DEREK PRICE DURBIN DMD (DENTIST)
- **Authorized official phone:** (270) 763-6604

## Contact information

- **Practice address:** 610 N MILES ST, ELIZABETHTOWN, KY 42701
- **Practice address phone:** (270) 763-6604
- **Practice address fax:** (270) 763-6552
- **Mailing address:** 610 N MILES ST, ELIZABETHTOWN, KY 42701
- **Mailing address phone:** (270) 763-6604
- **Mailing address fax:** (270) 763-6552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 7251 | KY | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 01/17/2012