# KEVIN R MURPHY D.D.S.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093848467
- **Authorized official:** DR. KEVIN R MURPHY D.D.S. (VICE PRESIDENT)
- **Authorized official phone:** (517) 321-4815

## Contact information

- **Practice address:** 4124 W ST JOE HWY, LANSING, MI 48917-5205
- **Practice address phone:** (517) 321-4815
- **Practice address fax:** (517) 321-8171
- **Mailing address:** 4124 W ST JOE HWY, LANSING, MI 48917-5205
- **Mailing address phone:** (517) 321-4815
- **Mailing address fax:** (517) 321-8171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 18472 | MI | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 08/22/2020