Provider Demographics
NPI:1437111754
Name:DURKAN, MARCIA ADAMS (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:ADAMS
Last Name:DURKAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MARCIA
Other - Middle Name:ADAMS
Other - Last Name:MUZZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:9874 YAMATO RD STE 116
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-5552
Mailing Address - Country:US
Mailing Address - Phone:561-488-1688
Mailing Address - Fax:561-477-1002
Practice Address - Street 1:9874 YAMATO RD STE 116
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-5552
Practice Address - Country:US
Practice Address - Phone:561-488-1688
Practice Address - Fax:561-477-1002
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021845122300000X
FLDN187591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008633180008Medicaid
PA0008633180005Medicaid
PA0008633180018Medicaid
PA0008633180003Medicaid
PA0008633180004Medicaid
PA0008633180016Medicaid
PA0008633180017Medicaid
PA0008633180020Medicaid
PA0008633180015Medicaid
PA0008633180007Medicaid
PA0008633180019Medicaid
PA0008633180006Medicaid
PA0008633180013Medicaid