Tracy L Durant is a Dentist in Rock Hill, South Carolina. Tracy L Durant practices all healthcare services and medical treatments related to Dentist. The NPI Number for Tracy L Durant is 1669683173. The last update date is 2012-10-10.
Tracy L Durant's current location address is 1125 N Anderson Rd, Rock Hill, South Carolina. You can contact this provider via phone number 8033258178 and fax number 8033258179. The mailing address for Tracy L Durant is 1125 N Anderson Rd, Rock Hill, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy L Durant |
|---|---|
| Address | 1125 N Anderson Rd, Rock Hill, South Carolina |
| Phone Number | 8033258178 |
| Fax Number | 8033258179 |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1669683173 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2012-10-10 |
Provider Mailing Address Detail
| Address | 1125 N Anderson Rd |
|---|---|
| City | Rock Hill |
| State | South Carolina (SC) |
| Post Code | 297302776 |
| Phone Number | 8033258178 |
| Fax Number | 8033258179 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 3506 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZA9577 | SC | -- | |
| 710905114 | SC | EMPLOYEE I.D. NUMBER |
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What is the unique 10-digit identifier code issued to Tracy L Durant by the Centers for Medicare & Medicaid Services?
The Tracy L Durant has been assigned the NPI (National Provider Identifier) 1669683173 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Tracy L Durant's facilities are situated?
The facilities of Tracy L Durant are physically located at the following address: 1125 N Anderson Rd, Rock Hill, SC, 297302776.
What is Tracy L Durant's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracy L Durant's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Tracy L Durant receive its 1669683173 assignment from the Centers for Medicare & Medicaid Services?
The Tracy L Durant was assigned its 1669683173 by the Centers for Medicare & Medicaid Services on 2007-05-25.
As of what date was the information regarding Tracy L Durant, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tracy L Durant, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-10.