Provider Demographics
NPI:1104923267
Name:DUREN, CRAIG V (DDS)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:V
Last Name:DUREN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 W NICOLLET BLVD
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-4568
Mailing Address - Country:US
Mailing Address - Phone:952-435-4142
Mailing Address - Fax:952-435-4187
Practice Address - Street 1:351 W NICOLLET BLVD
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-4568
Practice Address - Country:US
Practice Address - Phone:952-435-4142
Practice Address - Fax:952-435-4187
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN106191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice