Provider Demographics
NPI:1497934681
Name:MURPHY, TIMOTHY IRWIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:IRWIN
Last Name:MURPHY
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 1:5605 TRAIL CREST DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-1126
Mailing Address - Country:US
Mailing Address - Phone:214-212-0680
Mailing Address - Fax:
Practice Address - Street 1:5605 TRAIL CREST DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-1126
Practice Address - Country:US
Practice Address - Phone:214-212-0680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-24
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14106122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist