MEDICARE: DR. JONATHAN MORSE DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DEN.00206297	CO

General Provider Information

NPI Number	:	1295628725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN MORSE DDS

Provider Business Mailing Address
First Line	:	2412 E GALLAHER FERRY RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37932-1805
Country	:	US
Telephone Number	:	865-335-4253
Fax Number	:

Provider Business Practice Location Address
First Line	:	665 SOUTHPOINTE CT STE 150
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80906-8841
Country	:	US
Telephone Number	:	719-527-9098
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2025
Last Update Date	:	06/02/2025

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