Provider Demographics
NPI:1528287935
Name:MURPHY, BYRON LEE (DDS)
Entity type:Individual
Prefix:DR
First Name:BYRON
Middle Name:LEE
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:289 JONESBORO ROAD
Mailing Address - Street 2:#327
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253
Mailing Address - Country:US
Mailing Address - Phone:706-799-5174
Mailing Address - Fax:319-335-7451
Practice Address - Street 1:4054 BUFORD HWY NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-1678
Practice Address - Country:US
Practice Address - Phone:770-916-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2025-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0276741223G0001X
GADN0130431223P0221X, 1223G0001X
KY12211223P0221X
SC110041223P0221X
KY112521223G0001X
SC110001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA451549881BMedicaid
GA451549881CMedicaid