Search › Indiana › 1223G0001X
Mitchell Durham, DDS
NPI 1528799764 · on the registry since 2022
Practice
- Address
- 11135 Pendleton Pike Ste 900
Indianapolis, IN 46236 - Phone
- (317) 826-3441
- Organisation at this address
- Lifetime Dental Care Of Indiana, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
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
- 2022-06-20
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