Provider Demographics
NPI:1326026410
Name:SORIANO, MORRIS JOSEPH (DDS)
Entity type:Individual
Prefix:
First Name:MORRIS
Middle Name:JOSEPH
Last Name:SORIANO
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 1:130 LARNE CT
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-4446
Mailing Address - Country:US
Mailing Address - Phone:770-992-2433
Mailing Address - Fax:
Practice Address - Street 1:4001 CANTON RD
Practice Address - Street 2:SUITE 3
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-2739
Practice Address - Country:US
Practice Address - Phone:770-926-4333
Practice Address - Fax:770-926-0033
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA91071223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics