Provider Demographics
NPI:1053153346
Name:MURRAY, CAITLYN (DDS)
Entity type:Individual
Prefix:DR
First Name:CAITLYN
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 HENNING DR
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-2817
Mailing Address - Country:US
Mailing Address - Phone:716-868-1840
Mailing Address - Fax:
Practice Address - Street 1:3960 RIVER POINT PKWY UNIT A
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:CO
Practice Address - Zip Code:80110-3315
Practice Address - Country:US
Practice Address - Phone:716-868-1840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00206032122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist