Provider Demographics
NPI:1538432828
Name:MURAT, CONAN STEVEN (DHAT)
Entity type:Individual
Prefix:MR
First Name:CONAN
Middle Name:STEVEN
Last Name:MURAT
Suffix:
Gender:M
Credentials:DHAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 528
Mailing Address - Street 2:827 CHIEF EDDIE HOFFMAN HWY
Mailing Address - City:BETHEL
Mailing Address - State:AK
Mailing Address - Zip Code:99559-0528
Mailing Address - Country:US
Mailing Address - Phone:907-543-6000
Mailing Address - Fax:907-543-6393
Practice Address - Street 1:269 MORGAN'S ROAD
Practice Address - Street 2:
Practice Address - City:ANIAK
Practice Address - State:AK
Practice Address - Zip Code:99557-0269
Practice Address - Country:US
Practice Address - Phone:907-675-4556
Practice Address - Fax:907-675-4591
Is Sole Proprietor?:No
Enumeration Date:2012-02-16
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
247200000X
AK05-017-DHAT125J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes125J00000XDental ProvidersDental Therapist
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other