Provider Demographics
NPI:1316260003
Name:MORSE, THOMAS HOWARD (DDS)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:HOWARD
Last Name:MORSE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 MATHEWS DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926-3757
Mailing Address - Country:US
Mailing Address - Phone:843-681-4900
Mailing Address - Fax:843-681-4688
Practice Address - Street 1:21 MATHEWS DR
Practice Address - Street 2:SUITE 1
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29926-3757
Practice Address - Country:US
Practice Address - Phone:843-681-4900
Practice Address - Fax:843-681-4688
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC30-022011223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry