DR. PHILLIP HUE DURDEN IV (NPI# 1851493977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851493977 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP HUE DURDEN IV |
| Credential | D.M.D. |
| Practice Address |
104 Moores Grove Rd Winterville GA 30683-1506 |
| Practice Telephone | 7067427000 |
| Practice Fax Number | 7067422145 |
| Mailing Telephone | 7067427000 |
| Mailing Fax Number | 7067422145 |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2011-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN010773 | GA | Dental Providers |
| Street Address |
104 MOORES GROVE RD |
| City | WINTERVILLE |
| State | GA |
| Zip Code | 30683-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235635715 | Winterville Dental, LLC | Clinic/Center | 104 Moores Grove Rd, Winterville, GA 30683-1506 | 2018-04-03 |
| 1255686887 | Brian Andrew Mitchell | Dentist | 104 Moores Grove Rd, Winterville, GA 30683-1506 | 2012-07-19 |
| 1528233384 | Phillip H. Durden, Dmd, PC | Clinic/Center | 104 Moores Grove Rd, Winterville, GA 30683-1506 | 2008-04-23 |
| 1457545170 | Lila Frazer Ralston | Physical Therapy Assistant | 104 Moores Grove Rd, Suite 100, Winterville, GA 30683-1506 | 2007-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609049444 | Assisted Living Concepts Inc | Assisted Living Facility | 124 Avery Street, Winterville, WI 30683 | 2008-04-11 |
| 1841226339 | Harris Brothers Apothecaries Inc | Pharmacy | 104 Main St, Winterville, GA 30683-0158 | 2006-06-25 |
| 1558843730 | Kristin Lee Kibbe | Audiologist | 375 Winter St, Winterville, GA 30683-1408 | 2018-09-04 |
| 1952671299 | L Hubbrd Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 170 Smithonia Rd, Winterville, GA 30683-1417 | 2012-01-04 |
| 1861500233 | Medical Rehabilitation Systems, LLC | Physical Therapist | 105 Moores Grove Road, Winterville, GA 30683-1506 | 2006-08-27 |
| 1134149883 | Ray Whitfield | Nurse Anesthetist, Certified Registered | 1150 Moores Grove Rd, Winterville, GA 30683-1516 | 2006-07-19 |
| 1831224195 | Teresa F Vaughn | Physical Therapist | 105 Moores Grove Rd, Winterville, GA 30683-1517 | 2007-02-23 |
| 1578992129 | Todd Matthew Owens | Physical Therapist | 105 Moores Grove Rd, Winterville, GA 30683-1517 | 2013-11-04 |
| 1265789143 | Kevin Willenbring | Physical Therapist | 105 Moores Grove Rd, Winterville, GA 30683-1517 | 2012-08-09 |
| 1659446979 | Megan Kate Smith | Physical Therapist | 150 Sagewood Dr, Winterville, GA 30683-1563 | 2006-11-21 |
| Find all providers in zip 30683 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417517400 | Cameron Brown Mcgee | Dentist | 657 Worthington Rd Ste C, Winterville, NC 28590-7847 | 2019-06-20 |
| 1679050264 | William S. Harvey, IIi Dds4 | Dentist | 124 Beacon Dr Ste B, Winterville, NC 28590-7864 | 2018-07-26 |
| 1255686887 | Brian Andrew Mitchell | Dentist | 104 Moores Grove Rd, Winterville, GA 30683-1506 | 2012-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659028 | My Emergency Dental Ga, LLC | Dentist | 4811 Lower Roswell Rd Ste 108, Marietta, GA 30068-4345 | 2020-11-02 |
| 1417556630 | Feyishayo Dahunsi | Dentist | 50 Main Street Market Pl Se Ste 500, Cartersville, GA 30121-3312 | 2020-10-19 |
| 1568079143 | Bimala Gharti | Dentist | 7310 Village Creek Trce, Atlanta, GA 30328-6763 | 2020-09-28 |
| 1760098214 | Georgia Dental Professionals, PC | Dentist | 3000 Chapel Hill Rd Ste 104, Douglasville, GA 30135-1841 | 2020-09-21 |
| 1063028769 | Georgia Dental Professionals, PC | Dentist | 3364 Hamilton Mill Rd, Buford, GA 30519-4005 | 2020-09-17 |
| 1306452016 | Georgia Dental Professionals, PC | Dentist | 2680 Highway 34 E Ste A, Newnan, GA 30265-1330 | 2020-09-17 |
| 1720693690 | Georgia Dental Professionals, PC | Dentist | 3625 Browns Bridge Rd Ste 101, Cumming, GA 30028-4198 | 2020-09-09 |
| 1699385062 | Hetal Trivedi | Dentist | 930 Spring St Nw Unit 915-a, Atlanta, GA 30309-3816 | 2020-07-31 |
| 1285242693 | Georgia Dental Professionals, PC | Dentist | 5185 Peachtree Pkwy Ste 201, Norcross, GA 30092-6539 | 2020-07-22 |
| 1770101131 | Fatima Hassan | Dentist | 722 Bonnie Oaks Ln, Evans, GA 30809-6114 | 2020-07-11 |
| Find all providers with the same taxonomy | ||||
| City | WINTERVILLE |
| Zip Code | 30683 |
Please comment or provide details below to improve the information on DR. PHILLIP HUE DURDEN IV.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.