Provider Demographics
NPI:1225209547
Name:MCMURRY, PAUL B (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:B
Last Name:MCMURRY
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 1:315 E GROVER ST
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-3919
Mailing Address - Country:US
Mailing Address - Phone:704-484-5198
Mailing Address - Fax:704-484-5273
Practice Address - Street 1:315 E GROVER ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-3919
Practice Address - Country:US
Practice Address - Phone:704-484-5198
Practice Address - Fax:704-484-5273
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-14
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC84281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice