Provider Demographics
NPI:1225226186
Name:MURRAY, NICHOLAS J (DMD)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:J
Last Name:MURRAY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 HOWE ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-2610
Mailing Address - Country:US
Mailing Address - Phone:978-360-8691
Mailing Address - Fax:
Practice Address - Street 1:7878 GATEWAY BLVD E
Practice Address - Street 2:SUITE 101
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-1838
Practice Address - Country:US
Practice Address - Phone:915-595-3333
Practice Address - Fax:915-595-3438
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-04
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC44071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice