Healthcare Provider Details

I. General information

NPI: 1952347122
Provider Name (Legal Business Name): PETER MURCHIE D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 05/04/2024
Certification Date: 05/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 BROAD STREET RD STE C
MANAKIN SABOT VA
23103-2272
US

IV. Provider business mailing address

10141 OAKLEY POINTE DR
RICHMOND VA
23233-2025
US

V. Phone/Fax

Practice location:
  • Phone: 804-206-9455
  • Fax: 804-784-4905
Mailing address:
  • Phone: 804-784-4624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number0401410354
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: