Healthcare Provider Details

I. General information

NPI: 1881729457
Provider Name (Legal Business Name): MORRISON DENTAL ASSOCIATES,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23B SHELTER COVE LN SUITE 200
HILTON HEAD ISLAND SC
29928-3592
US

IV. Provider business mailing address

23B SHELTER COVE LN SUITE 200
HILTON HEAD ISLAND SC
29928-3592
US

V. Phone/Fax

Practice location:
  • Phone: 843-686-5810
  • Fax: 843-686-5301
Mailing address:
  • Phone: 843-686-5810
  • Fax: 843-686-5301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberZX3662
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberZX3626
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberZX2779
License Number StateSC

VIII. Authorized Official

Name: MS. PATRICIA FITZSIMMONS
Title or Position: OFFICE MANAGER
Credential:
Phone: 843-706-2146