MEDICARE: MCMURPHY ORTHODONTICS,INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	5428	AL

General Provider Information

NPI Number	:	1144756602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCMURPHY ORTHODONTICS,INC

Provider Business Mailing Address
First Line	:	9808 MCSARA COURT
Second Line	:
City	:	DAPHNE
State	:	AL
Zip	:	36526
Country	:	US
Telephone Number	:	251-621-8887
Fax Number	:	251-621-8847

Provider Business Practice Location Address
First Line	:	9808 MCSARA CT
Second Line	:
City	:	DAPHNE
State	:	AL
Zip	:	36527-5461
Country	:	US
Telephone Number	:	251-621-8887
Fax Number	:	251-621-8847

Authorized Official
Title or Position	:	D.M.D.
Name	:	DR. JOHN STEADMAN MCMURPHY JR.
Credential	:
Telephone Number	:	251-621-8887

Provider Enumeration Date	:	05/03/2017
Last Update Date	:	05/03/2017

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Directions to “MCMURPHY ORTHODONTICS,INC ” Practice Location

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