Provider Demographics
NPI:1992970420
Name:MCMURRAY DENTAL
Entity type:Organization
Organization Name:MCMURRAY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARSENIO
Authorized Official - Middle Name:E
Authorized Official - Last Name:MANALO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-969-0987
Mailing Address - Street 1:4143 WASHINGTON RD
Mailing Address - Street 2:WATERDAM CENTRE
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2522
Mailing Address - Country:US
Mailing Address - Phone:724-969-0987
Mailing Address - Fax:724-969-1113
Practice Address - Street 1:4143 WASHINGTON RD
Practice Address - Street 2:WATERDAM CENTRE
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2522
Practice Address - Country:US
Practice Address - Phone:724-969-0987
Practice Address - Fax:724-969-1113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS027484L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty