1992938526 NPI number — DR. JOSEPH HENRY MORRIS JR. DDS

Table of content: DR. JOSEPH HENRY MORRIS JR. DDS (NPI 1992938526)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992938526 NPI number — DR. JOSEPH HENRY MORRIS JR. DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORRIS
Provider First Name:
JOSEPH
Provider Middle Name:
HENRY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
DDS
Provider Gender Code:
M

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:
1992938526
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/31/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6 E WASHINGTON ST STE D
Provider Second Line Business Mailing Address:
PO BOX 1042
Provider Business Mailing Address City Name:
NEWNAN
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30263-7509
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-253-1151
Provider Business Mailing Address Fax Number:
770-253-1164

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6 E WASHINGTON ST STE D
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWNAN
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30263-7509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-253-1151
Provider Business Practice Location Address Fax Number:
770-253-1164
Provider Enumeration Date:
08/31/2009

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: 1223X0400X , with the licence number:  8528 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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