Provider Demographics
NPI:1841381761
Name:MURPHY, DEAN J (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEAN
Middle Name:J
Last Name:MURPHY
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 1:2835 MCFARLAND RD
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-6819
Mailing Address - Country:US
Mailing Address - Phone:815-636-2992
Mailing Address - Fax:815-636-2995
Practice Address - Street 1:2835 MCFARLAND RD
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-6819
Practice Address - Country:US
Practice Address - Phone:815-636-2992
Practice Address - Fax:815-636-2995
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics