Provider Demographics
NPI:1760491559
Name:MCMURTREY, LONNIE L (DDS)
Entity Type:Individual
Prefix:DR
First Name:LONNIE
Middle Name:L
Last Name:MCMURTREY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12910 ZUNI ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234-1311
Mailing Address - Country:US
Mailing Address - Phone:720-872-2750
Mailing Address - Fax:720-872-2752
Practice Address - Street 1:12910 ZUNI ST
Practice Address - Street 2:SUITE 600
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-1311
Practice Address - Country:US
Practice Address - Phone:720-872-2750
Practice Address - Fax:720-872-2752
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7407122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist