Healthcare Provider Details

I. General information

NPI: 1457285918
Provider Name (Legal Business Name): KYLE AUSTIN MORRIS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1423 MCARTHUR ST
MANCHESTER TN
37355-2517
US

IV. Provider business mailing address

2600 ROBY CORLEW LN APT 3303
MURFREESBORO TN
37129-0129
US

V. Phone/Fax

Practice location:
  • Phone: 931-728-0469
  • Fax:
Mailing address:
  • Phone: 228-369-8222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number13194
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: