Provider Demographics
NPI:1043648538
Name:OAK PARK DENTAL CTR
Entity Type:Organization
Organization Name:OAK PARK DENTAL CTR
Other - Org Name:JAMES A MURRAY DDS, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-542-6100
Mailing Address - Street 1:13730 W 9 MILE RD
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-2774
Mailing Address - Country:US
Mailing Address - Phone:248-542-6100
Mailing Address - Fax:248-542-3243
Practice Address - Street 1:13730 W 9 MILE RD
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2774
Practice Address - Country:US
Practice Address - Phone:248-542-6100
Practice Address - Fax:248-542-3243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-22
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010159101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty