Provider Demographics
NPI:1114594959
Name:MURTHY, CARA (DMD)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:MURTHY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 DOVER CENTER RD STE 120
Mailing Address - Street 2:
Mailing Address - City:BAY VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44140-2376
Mailing Address - Country:US
Mailing Address - Phone:440-899-7950
Mailing Address - Fax:440-899-0124
Practice Address - Street 1:660 DOVER CENTER RD STE 120
Practice Address - Street 2:
Practice Address - City:BAY VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44140-2376
Practice Address - Country:US
Practice Address - Phone:440-899-7950
Practice Address - Fax:440-899-0124
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.026537122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist