Provider Demographics
NPI:1932414877
Name:MURRAY ORTHODONTICS
Entity Type:Organization
Organization Name:MURRAY ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:IV
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:609-387-1212
Mailing Address - Street 1:1 FOUNTAIN AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-3301
Mailing Address - Country:US
Mailing Address - Phone:609-387-1212
Mailing Address - Fax:
Practice Address - Street 1:1 FOUNTAIN AVE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-3301
Practice Address - Country:US
Practice Address - Phone:609-387-1212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI021832001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty