Provider Demographics
NPI:1730244930
Name:DURGAN, DAVID B (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:DURGAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5507 NESCONSET HWY STE 23
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-2019
Mailing Address - Country:US
Mailing Address - Phone:631-473-4477
Mailing Address - Fax:
Practice Address - Street 1:5507 NESCONSET HWY STE 23
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2019
Practice Address - Country:US
Practice Address - Phone:631-473-4477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045782122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist