MEDICARE: GARRETT B MORRIS DDS LLC

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	1223E0200X	Endodontics	5199	LA

General Provider Information

NPI Number	:	1902905912
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARRETT B MORRIS DDS LLC

Provider Business Mailing Address
First Line	:	3100 GALLERIA DR STE 206
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70001-2196
Country	:	US
Telephone Number	:	504-885-0177
Fax Number	:	504-888-3581

Provider Business Practice Location Address
First Line	:	3100 GALLERIA DR STE 206
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70001-2196
Country	:	US
Telephone Number	:	504-885-0177
Fax Number	:	504-888-3581

Authorized Official
Title or Position	:	OWNER
Name	:	GARRETT MORRIS
Credential	:
Telephone Number	:	504-885-0177

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	01/10/2023

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