Provider Demographics
NPI:1144623885
Name:MURPHY, JAIME (RDH)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 ALICE DR
Mailing Address - Street 2:
Mailing Address - City:PENACOOK
Mailing Address - State:NH
Mailing Address - Zip Code:03303-2034
Mailing Address - Country:US
Mailing Address - Phone:603-731-1164
Mailing Address - Fax:
Practice Address - Street 1:67 ALICE DR
Practice Address - Street 2:
Practice Address - City:PENACOOK
Practice Address - State:NH
Practice Address - Zip Code:03303-2034
Practice Address - Country:US
Practice Address - Phone:603-731-1164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2469124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist