Provider Demographics
NPI:1003081142
Name:MURPHY, NEAL CONRAD (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:CONRAD
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:888 WAGON WHEEL RD
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-1115
Mailing Address - Country:US
Mailing Address - Phone:805-983-2055
Mailing Address - Fax:805-988-2220
Practice Address - Street 1:888 WAGON WHEEL RD
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-1115
Practice Address - Country:US
Practice Address - Phone:805-983-2055
Practice Address - Fax:805-988-2220
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA282041223P0300X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No1223P0300XDental ProvidersDentistPeriodontics