Dr Shantha Murthy, DDS is a
Dentist - General Practice based in Farmington, Illinois. Dr Shantha Murthy is licensed to practice in Illinois (license number 019-15784) and his current practice location is
138 E Fort St, Farmington, Illinois. He can be reached at his office (for appointments etc.) via phone at
(309) 245-2922.
NPI number for Dr Shantha Murthy is 1801913256 and his current mailing address is 4516 N Sterling Ave, Peoria, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801913256.
Healthcare Provider's Profile
| Full Name | Dr Shantha Murthy |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 138 E Fort St, Farmington, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801913256
- Provider Enumeration Date: 03/23/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Shantha Murthy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1801913256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | 019-15784 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shantha Murthy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Shantha Murthy, DDS 4516 N Sterling Ave, Peoria, IL 61615-3827 Ph: (309) 686-1100 | Dr Shantha Murthy, DDS 138 E Fort St, Farmington, IL 61531-1219 Ph: (309) 245-2922 |
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