SearchIndiana1223G0001X

Dustin Durnell

NPI 1528550688 · on the registry since 2018 · sole proprietor

Practice

Address
17490 State Road 23
South Bend, IN 46635
Phone
(574) 271-9000
Organisation at this address
Jeffrey S. Mader, Dds, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana