Dominique Levon Durham, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN24185 Issued in FL

Practice address

2613 S Monroe St
Tallahassee, FL 32301-6308

Phone

(036) 685-0759

NPI assigned

Jun 27, 2019

Last updated

Sep 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1053972257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 S MONROE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323016308",
            "telephone_number": "850-759-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 S MONROE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323016308",
            "telephone_number": "036-685-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "DOMINIQUE",
        "middle_name": "LEVON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24185",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeechia Dupree
• Lauren K Dupree, P.T.A.
• China Durden, MSN, APRN, FNP-C
• Nija Durden, RCSWI, MSW, MPA
• Chesley F Durgin III, M.D.
• Stephanie Michaella Duroseau
• Nantara Durrani, MBBS
• Kim McQueen Durrant, MSN PMHNP-BC
• Sidharth Dutta, M.D.
• Khursana Duty

• General Practice Dentistry in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.