Provider Demographics
NPI:1205197746
Name:DURUSKY, CHRISTOPHER THOMAS (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:THOMAS
Last Name:DURUSKY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 ROLLING MEADOWS LANE S
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:CHATHAM
Mailing Address - Zip Code:27517
Mailing Address - Country:UM
Mailing Address - Phone:919-394-6957
Mailing Address - Fax:
Practice Address - Street 1:3100 NC 55 HWY
Practice Address - Street 2:SUITE 201
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-8426
Practice Address - Country:US
Practice Address - Phone:919-363-3133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-31
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC92931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice