Theodore Mark Morris in South Park - General Practice

Theodore Mark Morris - NPI 1407986755

Theodore Mark Morris is a General Practice in South Park, Pennsylvania. Theodore Mark Morris practices all healthcare services and medical treatments related to General Practice. The NPI Number for Theodore Mark Morris is 1407986755. The last update date is 2007-07-08.

Theodore Mark Morris's current location address is 2580 Brownsville Rd, South Park, Pennsylvania. You can contact this provider via phone number 4128310520 and fax number 4128313107. The mailing address for Theodore Mark Morris is 2580 Brownsville Rd, South Park, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Theodore Mark Morris
Address 2580 Brownsville Rd, South Park, Pennsylvania
Phone Number 4128310520
Fax Number 4128313107
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1407986755
Provider Enumeration Date 2007-03-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2580 Brownsville Rd
City South Park
State Pennsylvania (PA)
Post Code 151298576
Phone Number 4128310520
Fax Number 4128313107

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DS019755L
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Theodore Mark Morris

What is the unique 10-digit identifier code assigned to Theodore Mark Morris by the Centers for Medicare & Medicaid Services?

The Theodore Mark Morris has been issued the NPI (National Provider Identifier) 1407986755 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Theodore Mark Morris?

The Theodore Mark Morris is physically situated at 2580 Brownsville Rd, in the city of South Park, state of PA, with the postal code 151298576.

What is the Theodore Mark Morris's specialty and taxonomy code?

The Theodore Mark Morris's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Theodore Mark Morris receive its 1407986755 assignment from the Centers for Medicare & Medicaid Services?

The Theodore Mark Morris was assigned its 1407986755 by the Centers for Medicare & Medicaid Services on 2007-03-06.

As of what date was the information pertaining to Theodore Mark Morris, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Theodore Mark Morris, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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