Active NPI
Phillip Hue Durden IV, D.M.D.
- General Practice Dentistry
- Winterville, GA
National Provider Identifier
1851493977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN010773
- Practice address
- 104 Moores Grove Rd Ste 100
Winterville, GA 30683-1506 - Phone
- (706) 546-8407
- Fax
- (706) 546-8409
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN010773 | GA | Primary |
Addresses
Primary practice location
104 Moores Grove Rd Ste 100
Winterville, GA 30683-1506
Mailing address
104 Moores Grove Rd Ste 100
Winterville, GA 30683-1506
Phone (706) 546-8407
Other practice location 1
104 Moores Grove Rd
Winterville, GA 30683-1506
Phone (706) 742-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN010773 | GA | MD | General Practice Dentistry |
| 10773 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winterville Dental, LLC | Current | Accepting new patients | |
| Phillip H. Durden, DMD, PC | Current | Accepting new patients | |
| Dental Sleep Medicine of Athens, LLC | Current | Accepting new patients |
Locations
104 Moores Grove Rd
Winterville, GA 30683
Phone (706) 742-7000
104 Moores Grove Rd
#100
Winterville, GA 30683
Phone (706) 247-6821
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Customized Equipment (DME)
- Winterville, GA
- NPI 1861883043
-
- Dentist
- Winterville, GA
- NPI 1528233384
-
- Dental Clinic/Center
- Winterville, GA
- NPI 1235635715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1851493977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 MOORES GROVE RD STE 100",
"city": "WINTERVILLE",
"state": "GA",
"postal_code": "306831506",
"telephone_number": "706-546-8407",
"fax_number": "706-546-8409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MOORES GROVE RD STE 100",
"city": "WINTERVILLE",
"state": "GA",
"postal_code": "306831506",
"telephone_number": "706-546-8407",
"fax_number": "706-546-8409"
}
],
"practiceLocations": [
{
"address_1": "104 Moores Grove Rd",
"address_purpose": "LOCATION",
"city": "Winterville",
"state": "GA",
"postal_code": "306831506",
"country_code": "US",
"telephone_number": "706-742-7000",
"fax_number": "706-742-2145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURDEN",
"first_name": "PHILLIP",
"middle_name": "HUE",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN010773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winterville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.