Provider Demographics
NPI:1346395001
Name:DUNCAN, DARYL (DDS)
Entity Type:Individual
Prefix:DR
First Name:DARYL
Middle Name:
Last Name:DUNCAN
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 1:25225 W 7 MILE RD
Mailing Address - Street 2:# 100
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48240-1462
Mailing Address - Country:US
Mailing Address - Phone:313-541-3004
Mailing Address - Fax:313-541-3038
Practice Address - Street 1:25225 W 7 MILE RD
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48240-1462
Practice Address - Country:US
Practice Address - Phone:313-541-3004
Practice Address - Fax:313-541-3038
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI10959122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist