Provider Demographics
NPI:1184039778
Name:MURRAY, KATELYN (DMD)
Entity Type:Individual
Prefix:MISS
First Name:KATELYN
Middle Name:
Last Name:MURRAY
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 1:3920 MARKET ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4202
Mailing Address - Country:US
Mailing Address - Phone:717-737-4337
Mailing Address - Fax:717-737-7918
Practice Address - Street 1:3920 MARKET ST
Practice Address - Street 2:SUITE 100
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4202
Practice Address - Country:US
Practice Address - Phone:717-737-4337
Practice Address - Fax:717-737-7918
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS039990122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist