Provider Demographics
NPI:1306391354
Name:IDEAL DENTAL OF MURPHY PLLC
Entity Type:Organization
Organization Name:IDEAL DENTAL OF MURPHY PLLC
Other - Org Name:MURPHY CENTER DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SULMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:972-361-0600
Mailing Address - Street 1:350 W FM 544
Mailing Address - Street 2:SUITE 130
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4639
Mailing Address - Country:US
Mailing Address - Phone:469-910-0759
Mailing Address - Fax:
Practice Address - Street 1:350 W FM 544
Practice Address - Street 2:SUITE 130
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4639
Practice Address - Country:US
Practice Address - Phone:469-910-0759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-19
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty