Dr. Patricia A Murray, D.M.D. Ph.D.
Dentist, Periodontics in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1295941474
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1295941474
- Entity type
- Individual (NPI-1)
- Name
- Dr. Patricia A Murray
- Credential
- D.M.D. Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 15, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- Medicare opt-out
- Oct 24, 2016 to Oct 24, 2026
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 40863 | CA | Yes |
Practice location
1100 Sonoma AveSuite D
Santa Rosa, CA 95405-8901
Phone 707-525-1600 · Fax 707-527-6686
Mailing address
1100 Sonoma AveSuite D
Santa Rosa, CA 95405-8901
Phone 707-525-1600 · Fax 707-527-6686
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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