Provider Demographics
NPI:1013026012
Name:MURAMATSU, JOHN M (DDS)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:MURAMATSU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15580 3RD AVENUE SW
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-2566
Mailing Address - Country:US
Mailing Address - Phone:206-242-4500
Mailing Address - Fax:206-439-9453
Practice Address - Street 1:15580 3RD AVENUE SW
Practice Address - Street 2:SUITE 201
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-2566
Practice Address - Country:US
Practice Address - Phone:206-242-4500
Practice Address - Fax:206-439-9453
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00060551223G0001X
WA0006055WA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice