Thomas Beatty Murphree Jr., D.D.S.
Individual provider Active NPI Dentist · Waveland, MS
NPI 1316066475 · NPPES record last updated Mar 12, 2018
Key facts
- NPI
- 1316066475
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 1464-71 (MS)
- Practice address
- 110 Auderer Blvd
Waveland, MS 39576-2432 - Phone
- (228) 270-0044
- Fax
- (228) 270-0047
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1464-71 | MS | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1464-71 | MS | Yes |
Addresses
Primary practice location
110 Auderer Blvd
Waveland, MS 39576-2432
Mailing address
110 Auderer Blvd
Waveland, MS 39576-2432
Phone (228) 270-0044
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00660452 | Medicaid | MS |
Other providers in Waveland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.