Provider Demographics
NPI:1487829453
Name:MURPHY, JOHN P (DDS MPH MS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:P
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DDS MPH MS
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Mailing Address - Street 1:100 GLEN ST
Mailing Address - Street 2:SUITE 1 B
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-4422
Mailing Address - Country:US
Mailing Address - Phone:518-792-3636
Mailing Address - Fax:518-792-6847
Practice Address - Street 1:100 GLEN ST
Practice Address - Street 2:SUITE 1 B
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-4422
Practice Address - Country:US
Practice Address - Phone:518-792-3636
Practice Address - Fax:518-792-6847
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY02828611223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics