=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558208348
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR. ROBERT C. MACMURDO, DMD FAMILY DENTISTRY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/30/2026
-----------------------------------------------------
Last Update Date | 04/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 216 EVANS DR
-----------------------------------------------------
City | ELLWOOD CITY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16117-1418
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-752-8989
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 216 EVANS DR
-----------------------------------------------------
City | ELLWOOD CITY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16117-1418
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-752-8989
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DENTIST
-----------------------------------------------------
Name | ROBERT MACMURDO
-----------------------------------------------------
Credential | DMD
-----------------------------------------------------
Telephone | 724-752-8989
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------