Provider Demographics
NPI:1891996971
Name:MURPHY, LAURIE JUNE DYLIS (DMD)
Entity Type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:JUNE DYLIS
Last Name:MURPHY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:LAURIE
Other - Middle Name:JUNE
Other - Last Name:DYLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:136 BOWKER ST
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1243
Mailing Address - Country:US
Mailing Address - Phone:781-659-0555
Mailing Address - Fax:781-356-4242
Practice Address - Street 1:1214 PARK ST
Practice Address - Street 2:TEAMSTERSCARE
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-3738
Practice Address - Country:US
Practice Address - Phone:781-297-7360
Practice Address - Fax:781-297-7830
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18132122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist