Provider Demographics
NPI:1215018908
Name:MURRAY, ROBERT IAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:IAN
Last Name:MURRAY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4772 CHANCELLOR DR
Mailing Address - Street 2:20
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-5227
Mailing Address - Country:US
Mailing Address - Phone:772-631-9151
Mailing Address - Fax:
Practice Address - Street 1:1038 SE OCEAN BLVD
Practice Address - Street 2:STE A
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996-2516
Practice Address - Country:US
Practice Address - Phone:772-287-5222
Practice Address - Fax:772-287-5372
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN170391223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice