Provider Demographics
NPI:1205287059
Name:DURAND, CARL-YVES
Entity type:Individual
Prefix:
First Name:CARL-YVES
Middle Name:
Last Name:DURAND
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 US HIGHWAY 1 STE 217
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-4611
Mailing Address - Country:US
Mailing Address - Phone:732-939-5085
Mailing Address - Fax:
Practice Address - Street 1:636 US HIGHWAY 1 STE 217
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-4611
Practice Address - Country:US
Practice Address - Phone:732-939-5085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-23
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLDN256171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program