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NPI Code Detail

MEDICARE: DR. ROBERT MURPHY EBERBAUGH D.D.S.

MEDICARE:  DR. ROBERT MURPHY EBERBAUGH  D.D.S.
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
11223G0001XGeneral Practice DentistryGA7708GA

General Provider Information

NPI Number : 1477675536
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT MURPHY EBERBAUGH D.D.S.
Provider Business Mailing Address
First Line : 1570 OLD ALABAMA RD.
Second Line : SUITE 102
City : ROSWELL
State : GA
Zip : 30076-2108
Country : US
Telephone Number : 770-998-6736
Fax Number :
Provider Business Practice Location Address
First Line : 1570 OLD ALABAMA ROAD
Second Line : SUITE 102
City : ROSWELL
State : GA
Zip : 30076-2108
Country : US
Telephone Number : 770-998-6736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT MURPHY EBERBAUGH D.D.S.” Practice Location

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