Healthcare Provider Details

I. General information

NPI: 1215738224
Provider Name (Legal Business Name): MCMURRAY DENTAL CARE P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 03/24/2025
Certification Date: 03/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4198 WASHINGTON RD STE 4
MC MURRAY PA
15317-2560
US

IV. Provider business mailing address

4198 WASHINGTON RD STE 4
MC MURRAY PA
15317-2560
US

V. Phone/Fax

Practice location:
  • Phone: 724-942-4500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

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

VIII. Authorized Official

Name: DHILEEP JINNA
Title or Position: PRESIDENT
Credential:
Phone: 419-788-5143