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NPI Code Detail

MEDICARE: DONALD R, MURRY JR, DDS, PC

MEDICARE: DONALD R, MURRY JR, DDS, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry0401-006179VA

General Provider Information

NPI Number : 1457406738
Entity Type Code : Organization
Provider Name (Legal Business Name) : DONALD R, MURRY JR, DDS, PC
Provider Business Mailing Address
First Line : 3250 ANDERSON HWY
Second Line :
City : POWHATAN
State : VA
Zip : 23139-7307
Country : US
Telephone Number : 804-598-2600
Fax Number : 804-598-9635
Provider Business Practice Location Address
First Line : 3250 ANDERSON HWY
Second Line :
City : POWHATAN
State : VA
Zip : 23139-7307
Country : US
Telephone Number : 804-598-2600
Fax Number : 804-598-9635
Authorized Official
Title or Position : PRESIDENT
Name : DR. DONALD ROBERT MURRY JR.
Credential : D.D.S.
Telephone Number : 804-598-2600
Provider Enumeration Date : 01/24/2007
Last Update Date : 08/22/2020

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