Provider Demographics
NPI:1760587208
Name:MURPHY, TRISTA WOLFE (DDS)
Entity Type:Individual
Prefix:DR
First Name:TRISTA
Middle Name:WOLFE
Last Name:MURPHY
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 1:8125 CORDOVA CENTER DR
Mailing Address - Street 2:SUITE #102
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-8673
Mailing Address - Country:US
Mailing Address - Phone:901-624-6110
Mailing Address - Fax:901-624-5431
Practice Address - Street 1:8125 CORDOVA CENTER DR
Practice Address - Street 2:SUITE #102
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-8673
Practice Address - Country:US
Practice Address - Phone:901-624-6110
Practice Address - Fax:901-624-5431
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2014-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0000007762122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist