Organization
DOUGLAS D DURST DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS D DURST DDS (DENTIST)
(405) 373-2119
Entity
Organization
Contact information
Practice address
51 GOODER SIMPSON BLVD NE, SUITE A, PIEDMONT, OK 73978-9237
(405) 373-2119
(405) 373-0809
Mailing address
51 GOODER SIMPSON BLVD NE, SUITE A, PIEDMONT, OK 73078-9237
(405) 373-2119
(405) 373-0809
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200092500A
—
OK
Enumeration date
04/12/2007
Last updated
04/10/2024
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