Provider Demographics
NPI:1609373059
Name:MURBACH, COLE GARNER (DMD, MD)
Entity type:Individual
Prefix:
First Name:COLE
Middle Name:GARNER
Last Name:MURBACH
Suffix:
Gender:M
Credentials:DMD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8641 SW 43RD TER
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-6177
Mailing Address - Country:US
Mailing Address - Phone:407-489-4761
Mailing Address - Fax:
Practice Address - Street 1:2611 SE 17TH ST STE A
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-5587
Practice Address - Country:US
Practice Address - Phone:352-509-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN235351223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery