Provider Demographics
NPI:1043418635
Name:NAGARAJA P.MURTHY DDS,INC
Entity Type:Organization
Organization Name:NAGARAJA P.MURTHY DDS,INC
Other - Org Name:GOLDENSTATEDENTALGROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAGARAJA
Authorized Official - Middle Name:P
Authorized Official - Last Name:MURTHY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-639-5000
Mailing Address - Street 1:1601 N LONG BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90221-1610
Mailing Address - Country:US
Mailing Address - Phone:310-639-5000
Mailing Address - Fax:310-763-4993
Practice Address - Street 1:1601 N LONG BEACH BLVD
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90221-1610
Practice Address - Country:US
Practice Address - Phone:310-639-5000
Practice Address - Fax:310-763-4993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty