Healthcare Provider Details

I. General information

NPI: 1891903308
Provider Name (Legal Business Name): STEVEN MORRIS D.D.S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 01/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4451 N RANCHO DR
LAS VEGAS NV
89130-3405
US

IV. Provider business mailing address

653 N STEPHANIE ST STE C-3
HENDERSON NV
89014-2634
US

V. Phone/Fax

Practice location:
  • Phone: 702-313-6868
  • Fax: 702-313-6873
Mailing address:
  • Phone: 702-435-3827
  • Fax: 702-435-3973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number4170
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: