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General NPI Number Information
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NPI Number | 1598992778
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Entity Type | Organization
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Legal Business Name | MORRISON DENTAL ASSOCIATES, P.C.
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Dates
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Enumeration Date | 06/16/2009
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 318 JOHNNY MERCER BLVD SUITE 12
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City | SAVANNAH
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State | GA
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Zip | 31410-2150
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Country | US
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Telephone | 912-897-4548
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Fax | 912-897-7311
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Provider Business Mailing Address
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Address Line | 318 JOHNNY MERCER BLVD SUITE 12
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City | SAVANNAH
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State | GA
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Zip | 31410-2150
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Country | US
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Telephone | 912-897-4548
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Fax | 912-897-7311
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | MS. VICTORIA A MONTEITH
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Credential |
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Telephone | 912-234-3610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | GA
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