MEDICARE: STEVEN MORRIS 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
1	122300000X	Dentist	4170	NV

General Provider Information

NPI Number	:	1891903308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN MORRIS D.D.S

Provider Business Mailing Address
First Line	:	653 N STEPHANIE ST
Second Line	:	STE C-3
City	:	HENDERSON
State	:	NV
Zip	:	89014-2634
Country	:	US
Telephone Number	:	702-435-3827
Fax Number	:	702-435-3973

Provider Business Practice Location Address
First Line	:	4451 N RANCHO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-3405
Country	:	US
Telephone Number	:	702-313-6868
Fax Number	:	702-313-6873

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

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	01/06/2017

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