Provider Demographics
NPI:1699741165
Name:MORRISON, ISAIAH PURNELL III (DDS)
Entity type:Individual
Prefix:DR
First Name:ISAIAH
Middle Name:PURNELL
Last Name:MORRISON
Suffix:III
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 1:3863 ALABAMA AVE. SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020
Mailing Address - Country:US
Mailing Address - Phone:202-889-8200
Mailing Address - Fax:202-889-5891
Practice Address - Street 1:3863 ALABAMA AVE. SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020
Practice Address - Country:US
Practice Address - Phone:202-889-8200
Practice Address - Fax:202-889-5891
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-24
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN30541223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC021929400Medicaid