Jared Murrell, DMD

Individual provider Active NPI General Practice Dentistry · Warrior, AL

NPI 1992898969 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992898969
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
5253 (AL)
Practice address
211 North Main Street
Warrior, AL 35180
Phone
(205) 647-3181
Fax
(205) 647-1134
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
5253ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Warrior Family Dentistry General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5253 AL Yes

Addresses

Primary practice location

211 North Main Street
Warrior, AL 35180

Mailing address

211 North Main Street
Warrior, AL 35180
Phone (205) 647-3181

Other providers in Warrior, AL

All providers in Warrior, AL · General Practice Dentistry in Alabama

Sources for this page

Verify at the official NPI Registry.