Provider Demographics
NPI:1700894797
Name:DUFOUR, DONALD JULES (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:JULES
Last Name:DUFOUR
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 1:101 SULLIVAN DRIVE
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-6812
Mailing Address - Country:US
Mailing Address - Phone:508-674-4031
Mailing Address - Fax:508-324-4045
Practice Address - Street 1:101 SULLIVAN DRIVE
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-6312
Practice Address - Country:US
Practice Address - Phone:508-674-4031
Practice Address - Fax:508-324-4045
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA166271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice