MEDICARE: PATRICK VINCENT MURPHY 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	1223G0001X	General Practice Dentistry	DS029171L	PA

General Provider Information

NPI Number	:	1922175918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK VINCENT MURPHY DMD

Provider Business Mailing Address
First Line	:	2601 CHARTIERS AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15204-2501
Country	:	US
Telephone Number	:	412-331-6712
Fax Number	:	412-331-5279

Provider Business Practice Location Address
First Line	:	2601 CHARTIERS AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15204-2501
Country	:	US
Telephone Number	:	412-331-6712
Fax Number	:	412-331-5279

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

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	01/10/2018

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