Provider Demographics
NPI:1558427450
Name:MURPHY, GUNILLA JONSSON (DDS)
Entity Type:Individual
Prefix:DR
First Name:GUNILLA
Middle Name:JONSSON
Last Name:MURPHY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1709 CLIFF DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-5850
Mailing Address - Country:US
Mailing Address - Phone:573-474-8566
Mailing Address - Fax:573-814-1832
Practice Address - Street 1:1627 TOWNE DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-2339
Practice Address - Country:US
Practice Address - Phone:573-474-8566
Practice Address - Fax:573-814-1832
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO014974122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist