Provider Demographics
NPI:1356580708
Name:DURR, JOHN CHRISTOPHER JR (DDS, JD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CHRISTOPHER
Last Name:DURR
Suffix:JR
Gender:M
Credentials:DDS, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4216 EVERGREEN LN
Mailing Address - Street 2:SUITE 113
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3243
Mailing Address - Country:US
Mailing Address - Phone:703-941-7020
Mailing Address - Fax:703-941-7030
Practice Address - Street 1:4216 EVERGREEN LN
Practice Address - Street 2:STE #113
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3243
Practice Address - Country:US
Practice Address - Phone:703-941-7020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0000VA53911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice