Provider Demographics
NPI:1740786698
Name:MURRAY, ARIEL MICHELLE (DDS)
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:MICHELLE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 W GUENTHER
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78204-1420
Mailing Address - Country:US
Mailing Address - Phone:469-222-7565
Mailing Address - Fax:
Practice Address - Street 1:3949 FREDERICKSBURG RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-3231
Practice Address - Country:US
Practice Address - Phone:210-265-3361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX361561223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry