Provider Demographics
NPI:1568558989
Name:DURSO, AUGUST JAMES JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:AUGUST
Middle Name:JAMES
Last Name:DURSO
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1661 FEEHANVILLE DR.
Mailing Address - Street 2:STE. 420
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-1900
Mailing Address - Country:US
Mailing Address - Phone:847-635-0117
Mailing Address - Fax:847-635-8562
Practice Address - Street 1:1728 E KENSINGTON RD
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-1900
Practice Address - Country:US
Practice Address - Phone:847-635-0117
Practice Address - Fax:847-635-8562
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-019044122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist