MEDICARE: DR. JOSEPH HENRY MORRIS JR. 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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	8528	GA

General Provider Information

NPI Number	:	1992938526
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH HENRY MORRIS JR. DDS

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

Provider Business Practice Location Address
First Line	:	6 E WASHINGTON ST STE D
Second Line	:
City	:	NEWNAN
State	:	GA
Zip	:	30263-7509
Country	:	US
Telephone Number	:	770-253-1151
Fax Number	:	770-253-1164

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

Provider Enumeration Date	:	08/31/2009
Last Update Date	:	08/31/2009

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