Andrew Murphy Superdock, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS044259 Issued in PA

Practice address

320 Oak St
Lebanon, PA 17042-6200

Phone

(717) 273-0411

NPI assigned

Aug 21, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1114701281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 STRACKS DAM RD",
            "city": "MYERSTOWN",
            "state": "PA",
            "postal_code": "170672167",
            "telephone_number": "717-344-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 OAK ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426200",
            "telephone_number": "717-273-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPERDOCK",
        "first_name": "ANDREW",
        "middle_name": "MURPHY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS044259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Stump Klinger, LSW
• Sandra Sudbury, PT
• James Suleski
• Kara Summers
• Sundance Rehabilitation Agency LLC
• Ellen R Superdock, CRNP
• Surgery Center of Lebanon, LP
• Emily Alexandra Swanger, CCC-SLP
• Jennifer Swanson
• Jerome Swierczynski, CRNA

• General Practice Dentistry in Lebanon, PA
• Providers in Lebanon, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.