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Organization

PHILLIP H. DURDEN, DMD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHILLIP H DURDEN IV DMD (PRESIDENT)
(706) 202-4883
Entity
Organization

Contact information

Practice address
104 MOORES GROVE RD, WINTERVILLE, GA 30683-1506
(706) 742-7000
Mailing address
400 MILLSTONE CIR, ATHENS, GA 30605-4936
(706) 202-4883

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
261QD0000X
Dental Clinic/Center
DN010773
GA
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
04/23/2008
Last updated
04/22/2026
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