Provider Demographics
NPI:1356609192
Name:MURRAY, JOHN JOSEPH JR (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:MURRAY
Suffix:JR
Gender:M
Credentials:DDS
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Mailing Address - Street 1:12350 INDUSTRY WAY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515
Mailing Address - Country:US
Mailing Address - Phone:907-277-0502
Mailing Address - Fax:907-345-2900
Practice Address - Street 1:12350 INDUSTRY WAY
Practice Address - Street 2:SUITE 205
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515
Practice Address - Country:US
Practice Address - Phone:907-277-0502
Practice Address - Fax:907-345-2900
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK#991223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics