Healthcare Provider Details

I. General information

NPI: 1124980305
Provider Name (Legal Business Name): PURIFY DENTAL OF DURANT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 N WASHINGTON AVE
DURANT OK
74701-2120
US

IV. Provider business mailing address

1220 N WASHINGTON AVE
DURANT OK
74701-2120
US

V. Phone/Fax

Practice location:
  • Phone: 817-809-4860
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. GAURAV PURI
Title or Position: OWNER DENTIST
Credential:
Phone: 325-725-0236