Healthcare Provider Details

I. General information

NPI: 1548528045
Provider Name (Legal Business Name): MORGAN WIMBISH MURRAY MS, DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2012
Last Update Date: 05/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 E 66TH ST
SAVANNAH GA
31405-4505
US

IV. Provider business mailing address

721 E 66TH ST
SAVANNAH GA
31405-4505
US

V. Phone/Fax

Practice location:
  • Phone: 912-354-8715
  • Fax: 912-352-0775
Mailing address:
  • Phone: 912-354-8715
  • Fax: 912-352-0775

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number9651
License Number StateGA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: