Provider Demographics
NPI:1578703955
Name:BERNING MURRAY, MEGAN RUTH (DDS)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:RUTH
Last Name:BERNING MURRAY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MISS
Other - First Name:MEGAN
Other - Middle Name:RUTH
Other - Last Name:BERNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:400 S MCCASLIN BLVD
Mailing Address - Street 2:STE #207
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-9731
Mailing Address - Country:US
Mailing Address - Phone:303-666-4900
Mailing Address - Fax:303-666-4902
Practice Address - Street 1:400 S MCCASLIN BLVD
Practice Address - Street 2:STE #207
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-9731
Practice Address - Country:US
Practice Address - Phone:303-666-4900
Practice Address - Fax:303-666-4902
Is Sole Proprietor?:No
Enumeration Date:2009-02-25
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS60575122300000X
CO10291122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist