Provider Demographics
NPI:1518138858
Name:MURPHY, DANIEL ROSS (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ROSS
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 S HIGH ST
Mailing Address - Street 2:SUITE 270
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-6170
Mailing Address - Country:US
Mailing Address - Phone:614-906-4808
Mailing Address - Fax:
Practice Address - Street 1:41 S HIGH ST
Practice Address - Street 2:SUITE 270
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-6170
Practice Address - Country:US
Practice Address - Phone:614-906-4808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-14
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300228311223P0300X
MO2005019248122300000X
IL019.026774122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist