Provider Demographics
NPI:1255498978
Name:MURRAY S SMITH FAMILY AND LASER DENTISTRY INC
Entity Type:Organization
Organization Name:MURRAY S SMITH FAMILY AND LASER DENTISTRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MURRAY
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:814-793-4362
Mailing Address - Street 1:PO BOX 332
Mailing Address - Street 2:210 E ALLEGHENY ST
Mailing Address - City:MARTINSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16662
Mailing Address - Country:US
Mailing Address - Phone:814-793-4362
Mailing Address - Fax:814-793-4362
Practice Address - Street 1:210 E ALLEGHENY ST
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:PA
Practice Address - Zip Code:16662
Practice Address - Country:US
Practice Address - Phone:814-793-4362
Practice Address - Fax:814-793-4362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019970L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty