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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