Individual
DR. SAMUEL NICHOLAS DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
655 7TH ST, ROBINS AFB, GA 31098
(478) 327-8487
Mailing address
655 7TH ST, ROBINS AFB, GA 31098-2227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.023729
OH
Other
Enumeration date
04/20/2012
Last updated
09/01/2023
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