Provider Demographics
NPI:1548528045
Name:MURRAY, MORGAN WIMBISH (MS, DMD)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:WIMBISH
Last Name:MURRAY
Suffix:
Gender:M
Credentials:MS, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 E 66TH ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-4505
Mailing Address - Country:US
Mailing Address - Phone:912-354-8715
Mailing Address - Fax:912-352-0775
Practice Address - Street 1:721 E 66TH ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4505
Practice Address - Country:US
Practice Address - Phone:912-354-8715
Practice Address - Fax:912-352-0775
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA96511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice