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General NPI Number Information
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NPI Number | 1376001818
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Entity Type | Organization
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Legal Business Name | MORRIS DENTAL, LLC
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 101 HIGHWAY 61 S
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City | NATCHEZ
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State | MS
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Zip | 39120-5216
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Country | US
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Telephone | 601-446-9099
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Fax | 601-844-0938
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Provider Business Mailing Address
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Address Line | 101 HIGHWAY 61 S
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City | NATCHEZ
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State | MS
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Zip | 39120-5216
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Country | US
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Telephone | 601-446-9099
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Fax | 601-844-0938
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Authorized Official
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Title or Position | MANAGER
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Name | DALLAS D MORRIS
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Credential | C0-OWNER
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Telephone | 337-258-8601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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