Provider Demographics
NPI:1841852159
Name:MURRAY, CHRISTINA CASSON (DDS)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:CASSON
Last Name:MURRAY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:LOUISE
Other - Last Name:CASSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:6328 WAKEFALLS DR
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-6264
Mailing Address - Country:US
Mailing Address - Phone:919-931-0116
Mailing Address - Fax:
Practice Address - Street 1:6406 MCCRIMMON PKWY STE 220
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-8145
Practice Address - Country:US
Practice Address - Phone:919-460-9061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11514122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist