Individual provider · Type 1 NPI

Justin Durrant

Oral and Maxillofacial Surgery (Dentist) · Nellis Afb, NV

NPI number 1578098398 Active

Practice location

4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112XS2-198C (NV)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X10358521-9922 (UT)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1578098398

Justin Durrant's National Provider Identifier is 1578098398, issued on Apr 30, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Nellis Afb, NV. The record was last updated on Apr 21, 2024.