Provider Demographics
NPI:1487375085
Name:MORRIS, ADRIENNE CELESTE (DMD)
Entity type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:CELESTE
Last Name:MORRIS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:CELESTE
Other - Last Name:MORROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1202 E SONTERRA BLVD STE 402
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4091
Mailing Address - Country:US
Mailing Address - Phone:210-341-4409
Mailing Address - Fax:
Practice Address - Street 1:1202 E SONTERRA BLVD STE 402
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4091
Practice Address - Country:US
Practice Address - Phone:210-341-4409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38412122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist