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NPI Code Detail

MEDICARE: K. NEAL MORRIS D.D. S. P.C.

MEDICARE: K. NEAL MORRIS D.D. S. P.C.
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
1122300000XDentist010257GA

General Provider Information

NPI Number : 1578701884
Entity Type Code : Organization
Provider Name (Legal Business Name) : K. NEAL MORRIS D.D. S. P.C.
Provider Business Mailing Address
First Line : 8455 HIGHWAY 85
Second Line : BLDG 500 SUITE 100
City : RIVERDALE
State : GA
Zip : 30274-5115
Country : US
Telephone Number : 770-478-2700
Fax Number : 770-478-2777
Provider Business Practice Location Address
First Line : 8455 HIGHWAY 85
Second Line : BLDG 500 SUITE 100
City : RIVERDALE
State : GA
Zip : 30274-5115
Country : US
Telephone Number : 770-478-2700
Fax Number : 770-478-2777
Authorized Official
Title or Position : DR/OWNER
Name : DR. KENNETH NEAL MORRIS
Credential : D.D.S.
Telephone Number : 770-478-2700
Provider Enumeration Date : 01/23/2009
Last Update Date : 01/23/2009

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Directions to “K. NEAL MORRIS D.D. S. P.C. ” Practice Location

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