Basic Information
Provider Information
NPI: 1386847697
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: MICHAEL
MiddleName: E
NamePrefix: DR.
NameSuffix:  
Credential: DDS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 525 E MARKET ST
Address2: SPI GROUND FLOOR
City: AKRON
State: OH
PostalCode: 443041619
CountryCode: US
TelephoneNumber: 3309968798
FaxNumber: 3309968695
Practice Location
Address1: 75 ARCH ST
Address2: SUITE 303
City: AKRON
State: OH
PostalCode: 443041429
CountryCode: US
TelephoneNumber: 3303756262
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/06/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
122300000X30013721OHY Dental ProvidersDentist 

No ID Information.


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