Provider Demographics
NPI:1003862194
Name:DAN C. MURPHY D.D.S. INC.
Entity Type:Organization
Organization Name:DAN C. MURPHY D.D.S. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:530-272-1981
Mailing Address - Street 1:115 W EMPIRE ST
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-7510
Mailing Address - Country:US
Mailing Address - Phone:530-272-1981
Mailing Address - Fax:530-272-6564
Practice Address - Street 1:115 W EMPIRE ST
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-7510
Practice Address - Country:US
Practice Address - Phone:530-272-1981
Practice Address - Fax:530-272-6564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA211761223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty