Provider Demographics
NPI:1548252844
Name:MURRAY, R ANTHONY (DDS)
Entity type:Individual
Prefix:DR
First Name:R
Middle Name:ANTHONY
Last Name:MURRAY
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 1:1026 W H SMITH BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-5051
Mailing Address - Country:US
Mailing Address - Phone:252-355-1173
Mailing Address - Fax:252-756-3445
Practice Address - Street 1:1026 W H SMITH BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5051
Practice Address - Country:US
Practice Address - Phone:252-355-1173
Practice Address - Fax:252-756-3445
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC63691223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8990078Medicaid
NCU73122Medicare UPIN
NC2428695CMedicare ID - Type UnspecifiedMEDICARE