Provider Demographics
NPI:1629615711
Name:MURPHY, CELIA GRAHAM (RDH)
Entity Type:Individual
Prefix:
First Name:CELIA
Middle Name:GRAHAM
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:CELIA
Other - Middle Name:RAENELL
Other - Last Name:GRAHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:290 WILD DUCK LN
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-8714
Mailing Address - Country:US
Mailing Address - Phone:832-755-1618
Mailing Address - Fax:
Practice Address - Street 1:8422 W 78TH CIR
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-4407
Practice Address - Country:US
Practice Address - Phone:303-591-8882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-08
Last Update Date:2019-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO002023966124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist