Provider Demographics
NPI:1003676032
Name:DUREN PLLC
Entity Type:Organization
Organization Name:DUREN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUREN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:704-828-0104
Mailing Address - Street 1:12925 HIGHWAY 601 STE 200
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28107-9536
Mailing Address - Country:US
Mailing Address - Phone:704-828-0104
Mailing Address - Fax:
Practice Address - Street 1:12925 HIGHWAY 601 STE 200
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:NC
Practice Address - Zip Code:28107-9536
Practice Address - Country:US
Practice Address - Phone:704-828-0104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental