Provider Demographics
NPI:1851840300
Name:CHRISTOPHER DURUSKY DDS PLLC
Entity Type:Organization
Organization Name:CHRISTOPHER DURUSKY DDS PLLC
Other - Org Name:CORNERSTONE FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:DURUSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-394-6957
Mailing Address - Street 1:401 PROVIDENCE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2203
Mailing Address - Country:US
Mailing Address - Phone:919-595-1010
Mailing Address - Fax:
Practice Address - Street 1:401 PROVIDENCE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2203
Practice Address - Country:US
Practice Address - Phone:919-595-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC92931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty