George Allison Murphy, DMD

Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · Weatogue, CT

NPI 1609896307 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609896307
Entity type
Individual (NPI type 1)
Primary specialty
Oral and Maxillofacial Surgery (Dentist) 1223S0112X
License
4595 (CT)
Practice address
110 Hopmeadow St
Weatogue, CT 06089-9407
Phone
(860) 651-3551
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4595CTMDOral and Maxillofacial Surgery (Dentist)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4595 CT Yes

Addresses

Primary practice location

110 Hopmeadow St
Weatogue, CT 06089-9407

Mailing address

110 Hopmeadow St
Weatogue, CT 06089-9407

Other providers in Weatogue, CT

All providers in Weatogue, CT · Oral and Maxillofacial Surgery (Dentist) in Connecticut

Sources for this page

Verify at the official NPI Registry.