Provider Demographics
NPI:1740366202
Name:MURPHY, JEFFREY C (DDS)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:C
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 E ARROW HWY
Mailing Address - Street 2:SUITE 5
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740
Mailing Address - Country:US
Mailing Address - Phone:626-963-1648
Mailing Address - Fax:626-650-0211
Practice Address - Street 1:625 E ARROW HWY
Practice Address - Street 2:SUITE 5
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740
Practice Address - Country:US
Practice Address - Phone:626-963-1648
Practice Address - Fax:626-650-0211
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADEO357671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice