Provider Demographics
NPI:1922175918
Name:MURPHY, PATRICK VINCENT (DMD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:VINCENT
Last Name:MURPHY
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 1:2601 CHARTIERS AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15204-2501
Mailing Address - Country:US
Mailing Address - Phone:412-331-6712
Mailing Address - Fax:412-331-5279
Practice Address - Street 1:2601 CHARTIERS AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15204-2501
Practice Address - Country:US
Practice Address - Phone:412-331-6712
Practice Address - Fax:412-331-5279
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029171L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice