Provider Demographics
NPI:1962444851
Name:MURPHY, DAVID MEREDITH (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MEREDITH
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 1:28871 CENTER RIDGE RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5271
Mailing Address - Country:US
Mailing Address - Phone:440-892-8008
Mailing Address - Fax:440-892-8076
Practice Address - Street 1:28871 CENTER RIDGE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5271
Practice Address - Country:US
Practice Address - Phone:440-892-8008
Practice Address - Fax:440-892-8076
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-01-85351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH30-01-8535OtherOHIO STATE DENTAL LICENSE