MEDICARE: DR. NICHOLAS J. MURRAY DMD

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	1223G0001X	General Practice Dentistry	4407	SC

General Provider Information

NPI Number	:	1225226186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS J. MURRAY DMD

Provider Business Mailing Address
First Line	:	280 HOWE ST
Second Line	:
City	:	METHUEN
State	:	MA
Zip	:	01844-2610
Country	:	US
Telephone Number	:	978-360-8691
Fax Number	:

Provider Business Practice Location Address
First Line	:	7878 GATEWAY BLVD E
Second Line	:	SUITE 101
City	:	EL PASO
State	:	TX
Zip	:	79915-1838
Country	:	US
Telephone Number	:	915-595-3333
Fax Number	:	915-595-3438

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2007
Last Update Date	:	05/23/2011

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