Healthcare Provider Details

I. General information

NPI: 1255257747
Provider Name (Legal Business Name): AWILDA DEJOIE MURPHY DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NEBRASKA MEDICINE DURHAM OUTPATIENT CTR DURHAM OUTPATIENT CENTER 989350 3RD
OMAHA NE
68198-0001
US

IV. Provider business mailing address

1015 N 16TH ST APT 510
OMAHA NE
68102-4449
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number8244
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: