Murphy, Mary Gail

Murphy, Mary Gail is an individual health care provider with primary practice located at Us Hwy 491 N , Shiprock NM 87420. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Murphy, Mary Gail can be contacted via phone (505) 368-6401.

Contact Information

Primary practice address
Us Hwy 491 N Shiprock NM 87420
Fax: (505) 368-6431
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DD2210 New Mexico

Profile Details

NPI number 1013906619
LBN Legal business name Murphy, Mary Gail
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Sep 20th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013906619 NPPES
New Mexico MEDICAID 40831574
New Mexico MEDICAID 50776223
New Mexico MEDICAID 697500

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