Provider Demographics
NPI:1023129962
Name:DURNFORD, JOHN B (DDS)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:B
Last Name:DURNFORD
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 1:1205 SAVANNAH DR
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-2923
Mailing Address - Country:US
Mailing Address - Phone:210-659-9001
Mailing Address - Fax:210-659-9566
Practice Address - Street 1:1205 SAVANNAH DR
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-2923
Practice Address - Country:US
Practice Address - Phone:210-659-9001
Practice Address - Fax:210-659-9566
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX140421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice