1932438900 NPI number — GUYLE E. MORRIS DMD LLC

Table of content: VERONICA SUZANNE STEVENS APRN, FNP-BC (NPI 1578068383)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932438900 NPI number — GUYLE E. MORRIS DMD LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GUYLE E. MORRIS DMD LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932438900
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/21/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
38 POND ST
Provider Second Line Business Mailing Address:
SUITE 303
Provider Business Mailing Address City Name:
FRANKLIN
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02038-3807
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-520-1249
Provider Business Mailing Address Fax Number:
508-520-2243

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
38 POND ST
Provider Second Line Business Practice Location Address:
SUITE 303
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02038-3807
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-520-1249
Provider Business Practice Location Address Fax Number:
508-520-2243
Provider Enumeration Date:
12/21/2009

Additional Information

Authorized Official

Authorized Official Last Name:
MORRIS
Authorized Official First Name:
GUYLE
Authorized Official Middle Name:
EVAN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
508-520-1249

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  17714 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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