Provider Demographics
NPI:1801417753
Name:MCMURRAY, ASHTIN NICHOLE (DMD)
Entity Type:Individual
Prefix:
First Name:ASHTIN
Middle Name:NICHOLE
Last Name:MCMURRAY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 W SHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-7161
Mailing Address - Country:US
Mailing Address - Phone:559-707-0466
Mailing Address - Fax:
Practice Address - Street 1:20326 MAIN ST
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CA
Practice Address - Zip Code:93266
Practice Address - Country:US
Practice Address - Phone:559-386-4502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-01
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106614122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist