MEDICARE: DR. DAVID E MORRIS DDS

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	1223P0221X	Pediatric Dentistry	43041	CA

General Provider Information

NPI Number	:	1811079551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID E MORRIS DDS

Provider Business Mailing Address
First Line	:	39560 STEVENSON PL STE 118
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94539-3074
Country	:	US
Telephone Number	:	510-790-3382
Fax Number	:

Provider Business Practice Location Address
First Line	:	39560 STEVENSON PL STE 118
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94539-3074
Country	:	US
Telephone Number	:	510-790-3382
Fax Number	:

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

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	10/06/2020

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