Healthcare Provider Details

I. General information

NPI: 1801094263
Provider Name (Legal Business Name): RUSSELL JEFFREY MORROW DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2007
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date: 02/24/2026
Reactivation Date: 04/22/2026

III. Provider practice location address

5355 E CAREFREE HWY STE 102
CAVE CREEK AZ
85331-1004
US

IV. Provider business mailing address

2900 GREENWICH CT
CROFTON MD
21114-2854
US

V. Phone/Fax

Practice location:
  • Phone: 408-795-7180
  • Fax:
Mailing address:
  • Phone: 301-870-4553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD009014
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: