Healthcare Provider Details

I. General information

NPI: 1356321046
Provider Name (Legal Business Name): ROBERT F MORRISON DMD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1131 PROFESSIONAL DR
WILLIAMSBURG VA
23185
US

IV. Provider business mailing address

1131 PROFESSIONAL DR
WILLIAMSBURG VA
23185
US

V. Phone/Fax

Practice location:
  • Phone: 757-220-0330
  • Fax: 757-220-9067
Mailing address:
  • Phone: 757-220-0330
  • Fax: 757-220-9067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number0401007138
License Number StateVA

VIII. Authorized Official

Name: DR. ROBERT F MORRISON
Title or Position: PRESIDENT
Credential: DMD
Phone: 757-220-0330