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NPI Code Detail

MEDICARE: EDWARD NELSON MORSE DMD

MEDICARE: EDWARD NELSON MORSE DMD
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
11223G0001XGeneral Practice DentistryDN13574FL

General Provider Information

NPI Number : 1952560559
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD NELSON MORSE DMD
Provider Business Mailing Address
First Line : 216 SE CORRECTIONS WAY
Second Line :
City : LAKE CITY
State : FL
Zip : 32025-2013
Country : US
Telephone Number : 386-292-7016
Fax Number :
Provider Business Practice Location Address
First Line : 216 SE CORRECTIONS WAY
Second Line :
City : LAKE CITY
State : FL
Zip : 32025-2013
Country : US
Telephone Number : 386-292-7016
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2008
Last Update Date : 08/13/2013

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Directions to “ EDWARD NELSON MORSE DMD” Practice Location

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