MEDICARE: DR. JOHN STEADMAN MCMURPHY JR. DMD

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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	5428	AL

General Provider Information

NPI Number	:	1578750055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN STEADMAN MCMURPHY JR. DMD

Provider Business Mailing Address
First Line	:	9808 MCSARA CT
Second Line	:
City	:	SPANISH FORT
State	:	AL
Zip	:	36527-5461
Country	:	US
Telephone Number	:	251-621-8887
Fax Number	:	251-621-8847

Provider Business Practice Location Address
First Line	:	9808 MCSARA CT
Second Line	:
City	:	SPANISH FORT
State	:	AL
Zip	:	36527-5461
Country	:	US
Telephone Number	:	251-621-8887
Fax Number	:	251-621-8847

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2007
Last Update Date	:	07/21/2022

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