Provider Demographics
NPI:1689728024
Name:DURFEE, SHARON J (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:J
Last Name:DURFEE
Suffix:
Gender:F
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1101
Mailing Address - Country:US
Mailing Address - Phone:847-866-7755
Mailing Address - Fax:847-866-7759
Practice Address - Street 1:3000 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1101
Practice Address - Country:US
Practice Address - Phone:847-866-7755
Practice Address - Fax:847-866-7759
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics