Provider Demographics
NPI:1811038904
Name:MURPHY, MICHAEL PATRICK (DDS)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:PATRICK
Last Name:MURPHY
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 1:608 E HARMONY RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3210
Mailing Address - Country:US
Mailing Address - Phone:970-225-8081
Mailing Address - Fax:970-225-1558
Practice Address - Street 1:608 E HARMONY RD
Practice Address - Street 2:SUITE 301
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3210
Practice Address - Country:US
Practice Address - Phone:970-225-8081
Practice Address - Fax:970-225-1558
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8976122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist