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General NPI Number Information
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NPI Number | 1497750368
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Entity Type | Individual
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Provider Name | CRAIG STEVEN MORRIS DDS, MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 04/05/2017
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Provider Practice Location Address
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Address Line | 19121 ALLINGHAM AVE
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City | CERRITOS
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State | CA
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Zip | 90703-6406
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Country | US
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Telephone | 702-630-2343
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Fax |
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Provider Business Mailing Address
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Address Line | 7632 SUDAN CT
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City | LAS VEGAS
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State | NV
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Zip | 89149-6496
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Country | US
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Telephone | 702-630-2343
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 3708 S2-31
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 56767
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License Number State | CA
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