Provider Demographics
NPI:1437289758
Name:MURFREE, ROBERT BRICKELL (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BRICKELL
Last Name:MURFREE
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 1:2500 OLD ALABAMA RD STE 7
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-2400
Mailing Address - Country:US
Mailing Address - Phone:703-927-9399
Mailing Address - Fax:
Practice Address - Street 1:2500 OLD ALABAMA RD STE 7
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076
Practice Address - Country:US
Practice Address - Phone:770-992-3711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0143921223G0001X
VA04014116001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice