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Organization
DENTAL SLEEP MEDICINE OF ATHENS, LLC
Active
Organization
DENTAL SLEEP MEDICINE OF ATHENS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP HUE DURDEN IV DMD (OWNER)
(706) 546-8407
Entity
Organization
Contact information
Practice address
104 MOORES GROVE RD STE 100, WINTERVILLE, GA 30683-1506
(706) 546-8407
(706) 546-8409
Mailing address
104 MOORES GROVE RD STE 100, WINTERVILLE, GA 30683-1506
(706) 546-8407
(706) 546-8409
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
010580
GA
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/10/2015
Last updated
04/22/2026
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