MEDICARE: DR. BRITTNEY MURRY 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	0401413607	VA

General Provider Information

NPI Number	:	1235490335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRITTNEY MURRY DMD

Provider Business Mailing Address
First Line	:	14269 MIDLOTHIAN TPKE
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23113-6560
Country	:	US
Telephone Number	:	804-379-7677
Fax Number	:

Provider Business Practice Location Address
First Line	:	14269 MIDLOTHIAN TPKE
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23113-6560
Country	:	US
Telephone Number	:	804-379-7677
Fax Number	:

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

Provider Enumeration Date	:	06/05/2012
Last Update Date	:	03/12/2020

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