Provider Demographics
NPI:1952487118
Name:DUPLER, MURPHY R (DDS)
Entity Type:Individual
Prefix:DR
First Name:MURPHY
Middle Name:R
Last Name:DUPLER
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:N4235 RIVER DR
Mailing Address - Street 2:
Mailing Address - City:WALLACE
Mailing Address - State:MI
Mailing Address - Zip Code:49893-9607
Mailing Address - Country:US
Mailing Address - Phone:906-863-9816
Mailing Address - Fax:
Practice Address - Street 1:200 S EXECUTIVE DR STE 101
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-4216
Practice Address - Country:US
Practice Address - Phone:888-964-6681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5001929-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI5001929-15Medicaid
MI742626401Medicaid