Provider Demographics
NPI:1346536273
Name:RICHARD A MURDOCH, DDS PC
Entity Type:Organization
Organization Name:RICHARD A MURDOCH, DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:MURDOCH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-355-6340
Mailing Address - Street 1:501 S CHERRY ST STE 230
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1719
Mailing Address - Country:US
Mailing Address - Phone:303-355-6340
Mailing Address - Fax:303-355-6019
Practice Address - Street 1:501 S CHERRY ST STE 230
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CO
Practice Address - Zip Code:80246-1719
Practice Address - Country:US
Practice Address - Phone:303-355-6340
Practice Address - Fax:303-355-6019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1052241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty