Provider Demographics
NPI:1225021074
Name:MURPHY, DENNIS MICHAEL (DDS)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:MICHAEL
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 TERRACE AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45220-2078
Mailing Address - Country:US
Mailing Address - Phone:513-221-1550
Mailing Address - Fax:513-221-3170
Practice Address - Street 1:310 TERRACE AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45220-2078
Practice Address - Country:US
Practice Address - Phone:513-221-1550
Practice Address - Fax:513-221-3170
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH15492122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist