Healthcare Provider Details

I. General information

NPI: 1538212253
Provider Name (Legal Business Name): CHRIS J MORFAS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 MAIN ST SUITE 2W
DYER IN
46311-1234
US

IV. Provider business mailing address

1001 MAIN ST SUITE 2W
DYER IN
46311-1234
US

V. Phone/Fax

Practice location:
  • Phone: 219-322-9905
  • Fax: 219-322-9958
Mailing address:
  • Phone: 219-322-9905
  • Fax: 219-322-9958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRIS J MORFAS
Title or Position: PRESIDENT
Credential: DDS
Phone: 219-322-9905