MEDICARE: DR. TIMOTHY IRWIN MURPHY 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
1	122300000X	Dentist	14106	TX

General Provider Information

NPI Number	:	1497934681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY IRWIN MURPHY D.D.S.

Provider Business Mailing Address
First Line	:	5605 TRAIL CREST DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-1126
Country	:	US
Telephone Number	:	214-212-0680
Fax Number	:

Provider Business Practice Location Address
First Line	:	5605 TRAIL CREST DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-1126
Country	:	US
Telephone Number	:	214-212-0680
Fax Number	:

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

Provider Enumeration Date	:	10/24/2007
Last Update Date	:	10/24/2007

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