Provider Demographics
NPI:1578084893
Name:ZIESEL PANSULLA, MURPHY ROSE (DMD)
Entity Type:Individual
Prefix:
First Name:MURPHY
Middle Name:ROSE
Last Name:ZIESEL PANSULLA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:MURPHY
Other - Middle Name:ROSE
Other - Last Name:ZIESEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1581 MCDANIEL DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-7039
Mailing Address - Country:US
Mailing Address - Phone:610-436-9736
Mailing Address - Fax:
Practice Address - Street 1:1581 MCDANIEL DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-7039
Practice Address - Country:US
Practice Address - Phone:610-436-9736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS041362122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist