Healthcare Provider Details

I. General information

NPI: 1558755348
Provider Name (Legal Business Name): ERIC MURNAN DDS, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2015
Last Update Date: 06/06/2022
Certification Date: 06/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11438 LEBANON RD
CINCINNATI OH
45241-6201
US

IV. Provider business mailing address

11438 LEBANON RD
CINCINNATI OH
45241-6201
US

V. Phone/Fax

Practice location:
  • Phone: 513-769-5545
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number30.026033
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: