Provider Demographics
NPI:1144756602
Name:MCMURPHY ORTHODONTICS,INC
Entity Type:Organization
Organization Name:MCMURPHY ORTHODONTICS,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:STEADMAN
Authorized Official - Last Name:MCMURPHY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:251-621-8887
Mailing Address - Street 1:9808 MCSARA COURT
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526
Mailing Address - Country:US
Mailing Address - Phone:251-621-8887
Mailing Address - Fax:251-621-8847
Practice Address - Street 1:9808 MCSARA CT
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36527-5461
Practice Address - Country:US
Practice Address - Phone:251-621-8887
Practice Address - Fax:251-621-8847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL54281223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty