Healthcare Provider Details

I. General information

NPI: 1093678682
Provider Name (Legal Business Name): NEVINE MORSY D.D.S
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6117 BROCKTON AVE STE 103
RIVERSIDE CA
92506-2282
US

IV. Provider business mailing address

6117 BROCKTON AVE STE 103
RIVERSIDE CA
92506-2282
US

V. Phone/Fax

Practice location:
  • Phone: 951-686-7420
  • Fax: 951-686-6251
Mailing address:
  • Phone: 951-686-7420
  • Fax: 951-686-6251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. NEVINE F MORSY
Title or Position: DENTIST
Credential: DDS
Phone: 951-686-7420