Healthcare Provider Details

I. General information

NPI: 1114117702
Provider Name (Legal Business Name): AUNDRA LAMOND MURPHY DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 S UNIVERSITY AVE SUITE K
LITTLE ROCK AR
72204-3600
US

IV. Provider business mailing address

9601 BAPTIST HEALTH DR STE 104
LITTLE ROCK AR
72205-6323
US

V. Phone/Fax

Practice location:
  • Phone: 501-603-5357
  • Fax:
Mailing address:
  • Phone: 501-224-0144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number3622
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number3622
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number3622
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: