Provider Demographics
NPI:1215083282
Name:DURANT, CECELIA DENISE (DDS)
Entity type:Individual
Prefix:DR
First Name:CECELIA
Middle Name:DENISE
Last Name:DURANT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:300 W 135TH ST
Mailing Address - Street 2:7P
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10030-2731
Mailing Address - Country:US
Mailing Address - Phone:646-709-4192
Mailing Address - Fax:646-410-0616
Practice Address - Street 1:719 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-4704
Practice Address - Country:US
Practice Address - Phone:646-709-4192
Practice Address - Fax:646-410-0616
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0365991223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry