Provider Demographics
NPI:1932691920
Name:MURPHY, ADRIENNE M (DDS)
Entity Type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:M
Last Name:MURPHY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ADRIENNE
Other - Middle Name:M
Other - Last Name:RUNGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:7040 WARWICK RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-1051
Mailing Address - Country:US
Mailing Address - Phone:317-997-9942
Mailing Address - Fax:
Practice Address - Street 1:3960 CLARKS CREEK RD
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-1947
Practice Address - Country:US
Practice Address - Phone:317-268-4953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-05
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04409122300000X
IN12013423A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist