Mansfield Dental Clinic LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MANSFIELD DENTAL CLINIC LLC

Doing business as

Andrew G Murphy DDS

Practice address

126 Jefferson St
Mansfield, LA 71052-2600

Phone

(318) 872-1557

Fax

(318) 872-3064

NPI assigned

Jun 11, 2012

Last updated

Jun 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew G Murphy, DDSNPI 1053415174

Title

General Dentist/Owner

Phone

(318) 872-1557

Specialties & licenses 1

Addresses

Other names 1

• Andrew G Murphy DDS Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew G Murphy, DDS

  • Public Health Dentistry
  • Mansfield, LA
  • NPI 1053415174
  Authorized official Same address or phone

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1871855387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 JEFFERSON ST",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710522600",
            "telephone_number": "318-872-1557",
            "fax_number": "318-872-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 JEFFERSON ST",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710522600",
            "telephone_number": "318-872-1557",
            "fax_number": "318-872-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD DENTAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "GENERAL DENTIST/OWNER",
        "authorized_official_telephone_number": "318-872-1557",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrew G Murphy DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mansfield Drug Store LLC (Mansfield Drug)
• Mansfield Drug Store LLC
• Mansfield Mental Health

• General Practice Dentistry in Mansfield, LA
• Providers in Mansfield, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.