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NPI Code Detail

MEDICARE: JOSEPH THOMAS NATHANIEL MORTON DDS

MEDICARE:   JOSEPH THOMAS NATHANIEL MORTON  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
1122300000XDentistDN29458FL

General Provider Information

NPI Number : 1891515730
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH THOMAS NATHANIEL MORTON DDS
Provider Business Mailing Address
First Line : 15010 STRATUS LOOP APT 108
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-7903
Country : US
Telephone Number : 512-636-5760
Fax Number :
Provider Business Practice Location Address
First Line : 873 GOOD HOMES RD
Second Line :
City : ORLANDO
State : FL
Zip : 32818-6628
Country : US
Telephone Number : 407-723-0060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2024
Last Update Date : 10/15/2024

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Directions to “ JOSEPH THOMAS NATHANIEL MORTON DDS” Practice Location

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