Provider Demographics
NPI:1427310754
Name:WILLIAM R. MORRIS, D.M.D., P.A.
Entity type:Organization
Organization Name:WILLIAM R. MORRIS, D.M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:R
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, PA
Authorized Official - Phone:864-489-5745
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29342-0127
Mailing Address - Country:US
Mailing Address - Phone:864-489-5745
Mailing Address - Fax:864-489-5746
Practice Address - Street 1:1500 W FLOYD BAKER BLVD
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29341-1204
Practice Address - Country:US
Practice Address - Phone:864-489-5745
Practice Address - Fax:864-489-5746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2050122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty