Healthcare Provider Details

I. General information

NPI: 1972802494
Provider Name (Legal Business Name): DENNIS M MURPHY DDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2011
Last Update Date: 03/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 TERRACE AVE SUITE 102
CINCINNATI OH
45220-2078
US

IV. Provider business mailing address

310 TERRACE AVE SUITE 102
CINCINNATI OH
45220-2078
US

V. Phone/Fax

Practice location:
  • Phone: 513-221-1550
  • Fax: 513-221-3170
Mailing address:
  • Phone: 513-221-1550
  • Fax: 513-221-3170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number15492
License Number StateOH

VIII. Authorized Official

Name: DR. DENNIS M MURPHY
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 513-221-1550