Organization
SHADY COVE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE B MURPHY DMD (OWNER)
(541) 878-2115
Entity
Organization
Contact information
Practice address
21300 HWY 62, SHADY COVE, OR 97539-9717
(541) 878-2115
Mailing address
PO BOX 1150, 21300 HIGHWAY 62, SHADY COVE, OR 97539-1150
(541) 878-2115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10-00527.0
OR
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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