MEDICARE: DR. ASHOK K.K. MORAR BDS

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
1	1223G0001X	General Practice Dentistry	DN10227	FL

General Provider Information

NPI Number	:	1740304393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASHOK K.K. MORAR BDS

Provider Business Mailing Address
First Line	:	530 LAKEWOOD DR
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-5501
Country	:	US
Telephone Number	:	813-814-4044
Fax Number	:

Provider Business Practice Location Address
First Line	:	27001 US HIGHWAY 19 N
Second Line	:	SUITE 8520
City	:	CLEARWATER
State	:	FL
Zip	:	33761-3402
Country	:	US
Telephone Number	:	727-799-0650
Fax Number	:	727-797-9273

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	07/08/2007

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