Healthcare Provider Details

I. General information

NPI: 1922193697
Provider Name (Legal Business Name): STEVEN SADLER MORRISON DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

791 ROBERTS DR
MONTICELLO AR
71655
US

IV. Provider business mailing address

791 ROBERTS DR
MONTICELLO AR
71655
US

V. Phone/Fax

Practice location:
  • Phone: 870-367-3433
  • Fax: 870-367-1424
Mailing address:
  • Phone: 870-367-3433
  • Fax: 870-367-1424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2630
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: