Individual
VENT STEPHEN MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
603 LEXINGTON AVE, FORT SMITH, AR 72901-4736
(479) 785-5437
(479) 785-5534
Mailing address
603 LEXINGTON AVE, FORT SMITH, AR 72901-4736
(479) 785-5437
(479) 785-5534
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2822
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58456
BCBS
—
01
—
632700
CONCORDIA
—
Enumeration date
06/19/2007
Last updated
07/08/2007
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