Organization
JOHN DURANT DMD LLC
Active
Other names
Cross County Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A DURANT DMD (OWNER)
(803) 225-0145
Entity
Organization
Contact information
Practice address
7455 CROSS COUNTY RD STE 4, NORTH CHARLESTON, SC 29418-8470
(843) 552-4771
Mailing address
809 LACHICOTTE CREEK DR, CHARLESTON, SC 29492-6505
(803) 225-0145
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902303852
INDIVIDUAL NPI
—
Enumeration date
05/04/2022
Last updated
05/04/2022
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