Provider Demographics
NPI:1881771889
Name:MURPHY, CAROLE ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:CAROLE
Middle Name:ANN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CAROLE
Other - Middle Name:ANN
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:9233 CASPIANE WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95826-2216
Mailing Address - Country:US
Mailing Address - Phone:559-582-2827
Mailing Address - Fax:707-895-2035
Practice Address - Street 1:1600 WEEOT WAY
Practice Address - Street 2:
Practice Address - City:ARCATA
Practice Address - State:CA
Practice Address - Zip Code:95521-4734
Practice Address - Country:US
Practice Address - Phone:559-582-2827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2024-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44953122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist