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NPI Code Detail

MEDICARE: DR. JEFFREY M MORRISON D.D.S.

MEDICARE:  DR. JEFFREY M MORRISON  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist5411NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1114187OTHERNCUNITED CONCORDIA PROVIDER
296213OTHERNCBCBS OF NC PROVIDER ID #

General Provider Information

NPI Number : 1164407235
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY M MORRISON D.D.S.
Provider Business Mailing Address
First Line : PO BOX 10850
Second Line :
City : RALEIGH
State : NC
Zip : 27605-0850
Country : US
Telephone Number : 919-755-3450
Fax Number : 919-755-3474
Provider Business Practice Location Address
First Line : 615 SAINT MARYS ST
Second Line :
City : RALEIGH
State : NC
Zip : 27605-1703
Country : US
Telephone Number : 919-755-3450
Fax Number : 919-755-3474
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 07/08/2007

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Directions to “ DR. JEFFREY M MORRISON D.D.S.” Practice Location

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