Provider Demographics
NPI:1972517092
Name:MORRIS, BRIAN HUGH (DMD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:HUGH
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 RAMSHEAD CIR
Mailing Address - Street 2:
Mailing Address - City:COCKEYSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21030-2812
Mailing Address - Country:US
Mailing Address - Phone:410-628-2865
Mailing Address - Fax:
Practice Address - Street 1:10400 RIDGLAND RD
Practice Address - Street 2:SUITE 6
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-2715
Practice Address - Country:US
Practice Address - Phone:410-628-6188
Practice Address - Fax:410-666-5509
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD57861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD469662OtherDELTA INS. CO
MD100179-01 #4728OtherBLUE CROSS & BLUE SHIELD