Provider Demographics
NPI:1720262322
Name:MURRAYHILL PEDIATRIC DENTISTRY P.C.
Entity Type:Organization
Organization Name:MURRAYHILL PEDIATRIC DENTISTRY P.C.
Other - Org Name:DENTISTRY FOR CHILDREN AT MURRAYHILL & AMBERGLEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:A
Authorized Official - Last Name:DOWNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-579-0304
Mailing Address - Street 1:14795 SW MURRAY SCHOLLS DR
Mailing Address - Street 2:SUITE #116
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-9713
Mailing Address - Country:US
Mailing Address - Phone:503-579-0304
Mailing Address - Fax:503-579-7866
Practice Address - Street 1:14795 SW MURRAY SCHOLLS DR
Practice Address - Street 2:SUITE #116
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97007-9713
Practice Address - Country:US
Practice Address - Phone:503-579-0304
Practice Address - Fax:503-579-7866
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENTISTRY FOR CHILDREN AT AMBERGLEN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD78971223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty