Provider Demographics
NPI:1881032175
Name:MURRAY, IAN RICHARD (DMD)
Entity Type:Individual
Prefix:DR
First Name:IAN
Middle Name:RICHARD
Last Name:MURRAY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12846 BRIARCREST PL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-5749
Mailing Address - Country:US
Mailing Address - Phone:619-708-1439
Mailing Address - Fax:619-708-1439
Practice Address - Street 1:6902 NAVAJO RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92119-1563
Practice Address - Country:US
Practice Address - Phone:619-582-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA624041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice