Provider Demographics
NPI:1245335579
Name:MCMURTREY, LAMONT G (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:LAMONT
Middle Name:G
Last Name:MCMURTREY
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9111 BENTON ST
Mailing Address - Street 2:SUITE100
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-3022
Mailing Address - Country:US
Mailing Address - Phone:303-422-6464
Mailing Address - Fax:303-432-0608
Practice Address - Street 1:9111 BENTON ST
Practice Address - Street 2:SUITE 100
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-3022
Practice Address - Country:US
Practice Address - Phone:303-422-6464
Practice Address - Fax:303-432-0608
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO65891223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics