Provider Demographics
NPI:1013200682
Name:MURRIN DENTAL MANAGEMENT LLC
Entity Type:Organization
Organization Name:MURRIN DENTAL MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-337-1127
Mailing Address - Street 1:10157 S FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-5609
Mailing Address - Country:US
Mailing Address - Phone:772-337-1127
Mailing Address - Fax:
Practice Address - Street 1:10157 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-5609
Practice Address - Country:US
Practice Address - Phone:772-337-1127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN156421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty