Provider Demographics
NPI:1306536701
Name:MORRIS, KAYLA (DMD)
Entity type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:
Last Name:MORRIS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 S CAPITOL ST SE APT 211
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-5132
Mailing Address - Country:US
Mailing Address - Phone:804-591-5216
Mailing Address - Fax:
Practice Address - Street 1:2992 WALDORF MARKET PL
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-4874
Practice Address - Country:US
Practice Address - Phone:301-843-9330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-09
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17977122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist