Anthony W Durall DMD PSC
Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Owensboro, KY
NPI 1831252162 · NPPES record last updated Aug 13, 2013
Key facts
- NPI
- 1831252162
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 4863 (KY)
- Legal business name
- ANTHONY W DURALL DMD PSC
- Practice address
- 2816 Veach Rd
Suite 301
Owensboro, KY 42303 - Phone
- (270) 683-0275
- Fax
- (270) 683-5929
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Anthony W Durall, DMDD
- Title
- President
- Phone
- (270) 683-0275
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | 4863 | KY | Yes |
Addresses
Primary practice location
2816 Veach Rd
Suite 301
Owensboro, KY 42303
Mailing address
2816 Veach Rd
Suite 301
Owensboro, KY 42303
Phone (270) 683-0275
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60048634 | Medicaid | KY |
Other providers in Owensboro, KY
- Mary Ellen Anderson
- Melanie Anderson
- Amanda Jane Andrew Brown
- Anesthesiology Medical Services PSC
- Michael Anno
- Ap Case Management
- Ap Case Management HCB
- Ap Case Management Link
- Arbor Counseling LLC
- Arc Clinical Solutions
All providers in Owensboro, KY · Orthodontics and Dentofacial Orthopedics Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.