Individual
DR. DEREK DURBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
610 N MILES ST, ELIZABETHTOWN, KY 42701-1916
(270) 763-6604
Mailing address
610 N MILES ST, ELIZABETHTOWN, KY 42701-1916
(270) 763-6604
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7251
KY
1223G0001X
General Practice Dentistry
7251
KY
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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