Provider Demographics
NPI:1619013323
Name:DURNEY, JOHN D (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:D
Last Name:DURNEY
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 1:303 YREKA ST
Mailing Address - Street 2:
Mailing Address - City:YREKA
Mailing Address - State:CA
Mailing Address - Zip Code:96097-3308
Mailing Address - Country:US
Mailing Address - Phone:530-842-2427
Mailing Address - Fax:530-841-0733
Practice Address - Street 1:303 YREKA ST
Practice Address - Street 2:
Practice Address - City:YREKA
Practice Address - State:CA
Practice Address - Zip Code:96097-3308
Practice Address - Country:US
Practice Address - Phone:530-842-2427
Practice Address - Fax:530-841-0733
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA340431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA34043OtherDENTAL LICENSE NUMBER
CAB3404301Medicaid
CABD0187131OtherDEA NUMBER