Dawn R Durbin, DDS, PC

Individual provider Active NPI General Practice Dentistry · Corydon, IN

NPI 1245343201 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1245343201
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
12010001 (IN)
Practice address
1161 Church Ave
Corydon, IN 47112-1925
Phone
(812) 738-2166
Fax
(812) 738-2167
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12010001INMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12010001 IN Yes

Addresses

Primary practice location

1161 Church Ave
Corydon, IN 47112-1925

Mailing address

1161 Church Ave
Corydon, IN 47112-1925
Phone (812) 738-2166

Other providers in Corydon, IN

All providers in Corydon, IN · General Practice Dentistry in Indiana

Sources for this page

Verify at the official NPI Registry.