Individual provider Active NPI

Phillip Hue Durden IV, D.M.D.

  • General Practice Dentistry
  • Winterville, GA
National Provider Identifier
1851493977
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN010773 Issued in GA
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

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DN010773GAMDGeneral Practice Dentistry
10773GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Winterville Dental, LLC Current Accepting new patients
Phillip H. Durden, DMD, PC CurrentSince Jan 1, 1990 Accepting new patients
Dental Sleep Medicine of Athens, LLC CurrentSince May 16, 2021 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.

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.

Verify at the official NPI Registry.