Provider Demographics
NPI:1104941137
Name:MORRIS, WILLIAM BRITT (DMD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:BRITT
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 HENDRICKS AVE
Mailing Address - Street 2:P O BOX 396
Mailing Address - City:BUTLER
Mailing Address - State:AL
Mailing Address - Zip Code:36904-2522
Mailing Address - Country:US
Mailing Address - Phone:205-459-3425
Mailing Address - Fax:205-459-3436
Practice Address - Street 1:304 HENDRICKS AVE
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:AL
Practice Address - Zip Code:36904-2522
Practice Address - Country:US
Practice Address - Phone:205-459-3425
Practice Address - Fax:205-459-3436
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL41851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009962600Medicaid
AL91117OtherBLUE CROSS BLUE SHIELD AL