Provider Demographics
NPI:1588742902
Name:MURPHY, THOMAS PAUL (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:PAUL
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:28871 CENTER RIDGE RD
Mailing Address - Street 2:104
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5271
Mailing Address - Country:US
Mailing Address - Phone:440-871-2201
Mailing Address - Fax:440-871-2204
Practice Address - Street 1:28871 CENTER RIDGE RD
Practice Address - Street 2:104
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5271
Practice Address - Country:US
Practice Address - Phone:440-871-2201
Practice Address - Fax:440-871-2204
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH175161223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHT80577Medicare UPIN