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General NPI Number Information
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NPI Number | 1932147451
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Entity Type | Organization
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Legal Business Name | VENT S MURPHY DDS MS PLLC
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 603 LEXINGTON AVE
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City | FORT SMITH
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State | AR
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Zip | 72901
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Country | US
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Telephone | 479-785-5437
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Fax | 479-785-5534
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Provider Business Mailing Address
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Address Line | 603 LEXINGTON AVE
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City | FORT SMITH
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State | AR
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Zip | 72901
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Country | US
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Telephone | 479-785-5437
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Fax | 479-785-5534
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Authorized Official
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Title or Position | OWNER
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Name | MR. VENT S MURPHY
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Credential | DDS MS
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Telephone | 479-785-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | ARK 2822
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License Number State | AR
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