Dr. Tracy L. Durant, Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

3506 Issued in SC

Legal business name

DR. TRACY L. DURANT, INC.

Practice address

1125 Anderson Rd N
Sutie 104
Rock Hill, SC 29730-2776

Phone

(803) 325-8178

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tracy Lyndell Durant, DDSNPI 1669683173

Title

President / Owner

Phone

80933258178

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy L Durant, D.D.S

  • Dentist
  • Rock Hill, SC
  • NPI 1669683173
  NPD (past) Authorized official

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1164697405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 ANDERSON RD N",
            "address_2": "SUTIE 104",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297302776",
            "telephone_number": "803-325-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 ANDERSON RD N",
            "address_2": "SUTIE 104",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297302776",
            "telephone_number": "803-325-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TRACY L. DURANT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "DURANT",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYNDELL",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "80933258178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "3506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3506",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.