Provider Demographics
NPI:1265688550
Name:MURPHY, ANNA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43063 PEACOCK MARKET PLZ
Mailing Address - Street 2:SUITE 125
Mailing Address - City:SOUTH RIDING
Mailing Address - State:VA
Mailing Address - Zip Code:20152-4473
Mailing Address - Country:US
Mailing Address - Phone:703-327-0327
Mailing Address - Fax:703-327-3887
Practice Address - Street 1:43063 PEACOCK MARKET PLZ
Practice Address - Street 2:SUITE 125
Practice Address - City:SOUTH RIDING
Practice Address - State:VA
Practice Address - Zip Code:20152-4473
Practice Address - Country:US
Practice Address - Phone:703-327-0327
Practice Address - Fax:703-327-3887
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401412248122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist