Provider Demographics
NPI:1134217920
Name:MURPHY-BROWN, KATHARINE (DMD)
Entity type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:
Last Name:MURPHY-BROWN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6177 ORCHARD LAKE RD STE 210
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-2390
Mailing Address - Country:US
Mailing Address - Phone:248-737-1577
Mailing Address - Fax:
Practice Address - Street 1:6177 ORCHARD LAKE RD STE 210
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-2390
Practice Address - Country:US
Practice Address - Phone:248-737-1577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901019929122300000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist