DR. LARRY J DURAND (NPI# 1619917515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619917515 |
| Entity Type | Individual |
| Full Name | DR. LARRY J DURAND |
| Credential | DMD |
| Practice Address |
312 High St Maryville TN 37804 |
| Practice Telephone | 8659828000 |
| Practice Fax Number | 8659828512 |
| Mailing Telephone | 8659828000 |
| Mailing Fax Number | 8659828512 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
005322 | TN | Dental Providers |
| Street Address |
312 HIGH ST |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536260 | Charles Gerard Durand | Internal Medicine | 312 High St, Maryville, TN 37804-5833 | 2005-05-24 |
| 1609235712 | Foothills Endodontics | Dentist | 312 High St, Maryville, TN 37804-5833 | 2016-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992922876 | Edward T Rose | Dentist | 4 Oak Dr, Unit B, Maryville, IL 62062 | 2007-04-20 |
| 1649251828 | Keith H. Foster | Dentist | 206 Simmons St, Maryville, TN 37801-4750 | 2005-11-07 |
| 1609235712 | Foothills Endodontics | Dentist | 312 High St, Maryville, TN 37804-5833 | 2016-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353080 | Assured Endodontics, Pllc | Dentist | 2026 Exeter Rd Unit J-2, Germantown, TN 38138-3965 | 2020-10-15 |
| 1417414350 | Mid South Endodontics Pllc | Dentist | 1918 Exeter Rd Unit 1, Germantown, TN 38138-2970 | 2019-02-27 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| 1649630534 | Josanne Mildred O'dell | Dentist | 2060 Steeplebrook Dr, Cordova, TN 38016-5075 | 2016-03-04 |
| 1558731463 | Cumberland Endodontics Pllc | Dentist | 1528 Hunt Club Blvd, Suite 410, Gallatin, TN 37066-6036 | 2015-10-05 |
| 1811398951 | Poppy Montana-marie Blaseio | Dentist | 5111 Maryland Way Ste 209, Brentwood, TN 37027-7513 | 2014-09-09 |
| 1982021291 | Heritage Park Endodontics | Dentist | 538 Brandies Cir, Ste 105, Murfreesboro, TN 37128-7698 | 2014-03-25 |
| 1821438722 | Riley Beth Sturgill | Dentist | 2800 Peoples St Ste 60, Johnson City, TN 37604-4158 | 2013-06-25 |
| 1255629028 | Dental Specialists of Nashville, Pllc | Dentist | 447 Murfreesboro Pike, Nashville, TN 37210-2842 | 2011-07-14 |
| 1558659516 | Mack Endodontics Dds P.C. | Dentist | 5180 Park Ave Ste 300, Memphis, TN 38119-3531 | 2011-07-12 |
| Find all providers with the same taxonomy | ||||
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| 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.