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Active NPI 1013080019 Individual Practitioner Male Practitioner

Dr. Russell A Murphy , DDS

Dentist - General Practice • South Bend, IN

Professional Overview & Biography Verified Profile Summary

Dr. Russell Murphy, DDS is a registered healthcare professional specializing in Dentist - General Practice in South Bend, IN. Practice services are available at 1329 N IRONWOOD DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1329 N Ironwood Drive

South Bend, IN 466153566

Telephone 5742717500
Fax 5742716052

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in South Bend, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
50 Specialists

Practicing in South Bend, IN (2204 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12010061A

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200205420B (IN)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active March 07, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2013

Registered at 1329 N IRONWOOD DRIVE, SOUTH BEND, IN 466153566 (Tel: 5742717500)

📍
Updated Business Mailing Address March 07, 2013

Registered at 1329 N IRONWOOD DRIVE, SOUTH BEND, IN 466153566 (Tel: 5742717500)

👤
Provider Name / Credentials Updated March 07, 2013

Recorded as RUSSELL MURPHY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2013

Dentist (License #12010061A in IN)

🟢
Initial NPI Registration & Enumeration November 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013080019
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2006
Last Update: March 07, 2013
Sole Proprietor: No
Update or Correct Profile

Mailing Address

1329 N Ironwood Drive

South Bend, IN 466153566

Phone: 5742717500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.