Provider Demographics
NPI:1790989002
Name:DR. JAMES MURRAY DDS, PA
Entity Type:Organization
Organization Name:DR. JAMES MURRAY DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:METCALFE
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:SR
Authorized Official - Credentials:DDS
Authorized Official - Phone:207-985-7337
Mailing Address - Street 1:PO BOX 1277
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-1277
Mailing Address - Country:US
Mailing Address - Phone:207-985-7337
Mailing Address - Fax:207-985-7338
Practice Address - Street 1:91 PORTLAND ROAD
Practice Address - Street 2:
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043
Practice Address - Country:US
Practice Address - Phone:207-985-7337
Practice Address - Fax:207-985-7338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2394261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental