Healthcare Provider Details

I. General information

NPI: 1700055167
Provider Name (Legal Business Name): JAMES Y. MORRIS, DDS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2008
Last Update Date: 02/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 JOHNS HOPKINS DR
GREENVILLE NC
27834-7223
US

IV. Provider business mailing address

805 JOHNS HOPKINS DR
GREENVILLE NC
27834-7223
US

V. Phone/Fax

Practice location:
  • Phone: 252-752-6644
  • Fax: 252-752-6828
Mailing address:
  • Phone: 252-752-6644
  • Fax: 252-752-6828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number4380
License Number StateNC

VIII. Authorized Official

Name: DR. JAMES Y MORRIS
Title or Position: OWNER
Credential: D.D.S.
Phone: 252-752-6644