Individual
DR. TED JOSEPH MURRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4200 ASBURY RD, DUBUQUE, IA 52002-2892
(563) 556-2711
(563) 556-8017
Mailing address
4200 ASBURY RD, DUBUQUE, IA 52002-2892
(563) 556-2711
(563) 556-8017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6254
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152728
—
IA
01
—
17792
BLUE CROSS BLUE SHIELD
IA
01
—
177923
DELTA
IA
01
—
687383
UNITED CONCORDIA
IA
01
—
687386
TRICARE
IA
Enumeration date
11/28/2006
Last updated
07/08/2007
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