Individual provider · Type 1 NPI

Tracy Ellen Durham, DDS

General Practice Dentistry · Pooler, GA

NPI number 1366577322 Active

About NPI 1366577322

Tracy Ellen Durham, DDS's National Provider Identifier is 1366577322, issued on Feb 22, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pooler, GA. The record was last updated on Jul 8, 2007.