Provider Demographics
NPI:1679945570
Name:LYNN E. MURRAY DDS
Entity Type:Organization
Organization Name:LYNN E. MURRAY DDS
Other - Org Name:RED BRIDGE FAMILY DENTAL
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:WEINZATL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-943-0600
Mailing Address - Street 1:400 E RED BRIDGE RD
Mailing Address - Street 2:SUITE 321
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-4035
Mailing Address - Country:US
Mailing Address - Phone:816-943-0600
Mailing Address - Fax:816-943-0309
Practice Address - Street 1:400 E RED BRIDGE RD
Practice Address - Street 2:SUITE 321
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64131-4035
Practice Address - Country:US
Practice Address - Phone:816-943-0600
Practice Address - Fax:816-943-0309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-30
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO153701223G0001X
MO135011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty