Provider Demographics
NPI:1619045507
Name:MURPHY, PAUL T (DMD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:T
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 PRINCETON STREET
Mailing Address - Street 2:
Mailing Address - City:N CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-1500
Mailing Address - Country:US
Mailing Address - Phone:978-251-3912
Mailing Address - Fax:978-251-8445
Practice Address - Street 1:45 PRINCETON STREET
Practice Address - Street 2:
Practice Address - City:N CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-1500
Practice Address - Country:US
Practice Address - Phone:978-251-3912
Practice Address - Fax:978-251-8445
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA134071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice