Provider Demographics
NPI:1851558415
Name:DURRANI, D.M.D. P.C.
Entity Type:Organization
Organization Name:DURRANI, D.M.D. P.C.
Other - Org Name:MONTGOMERY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZULFIQAR
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:DURRANI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:413-592-2500
Mailing Address - Street 1:377 MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-1929
Mailing Address - Country:US
Mailing Address - Phone:413-592-2500
Mailing Address - Fax:413-594-5010
Practice Address - Street 1:377 MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-1929
Practice Address - Country:US
Practice Address - Phone:413-592-2500
Practice Address - Fax:413-594-5010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA169341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty