Provider Demographics
NPI:1699901892
Name:MORRISON, MELINA ELIZABETH (DDS)
Entity type:Individual
Prefix:DR
First Name:MELINA
Middle Name:ELIZABETH
Last Name:MORRISON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MELINA
Other - Middle Name:
Other - Last Name:COZBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:108 E US HIGHWAY 80 STE 190
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-8698
Mailing Address - Country:US
Mailing Address - Phone:972-564-7575
Mailing Address - Fax:
Practice Address - Street 1:108 E US HIGHWAY 80 STE 190
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-8698
Practice Address - Country:US
Practice Address - Phone:972-564-7575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-03
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24539122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist