1003980368 NPI number — DR. ELIZABETH SHARPE MORRIS DDS

Table of content: DR. ELIZABETH SHARPE MORRIS DDS (NPI 1003980368)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003980368 NPI number — DR. ELIZABETH SHARPE MORRIS DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORRIS
Provider First Name:
ELIZABETH
Provider Middle Name:
SHARPE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003980368
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/16/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8114 RIVER PARK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOWIE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20715-3352
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-809-4325
Provider Business Mailing Address Fax Number:
301-839-6753

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6188 OXON HILL RD
Provider Second Line Business Practice Location Address:
SUITE 406
Provider Business Practice Location Address City Name:
OXON HILL
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20745-3113
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-839-6330
Provider Business Practice Location Address Fax Number:
301-839-6753
Provider Enumeration Date:
11/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  8120 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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