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Contact Information

RUSSELL A MURPHY, DDS
1329 N IRONWOOD DRIVE
SOUTH BEND, IN46615-3566
 Phone: 574-271-7500
 Fax: 574-271-6052
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for RUSSELL A MURPHY · (Male)

NPI # 1013080019
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 11/16/2006
Last updated 03/07/2013 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 12010061A
  • IN Medicaid 200205420B
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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