IndividualActive
Mark Durham, D.M.D.
NPI 1316265358 · Prosthodontics · Metairie, LA
Provider details
- NPI number
- 1316265358
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- S-492 (LA)
Specialties & taxonomies
Dental Providers
Practice location
4946 York St
Metairie, LA 70001-1036
Phone: (504) 324-4309
Approximate (ZIP-level) locationGet directions
Mailing address
4946 York St
Metairie, LA 70001-1036
Registry dates
- Enumerated
- 2010-05-15
- Last updated
- 2010-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.