Provider Demographics
NPI:1992548192
Name:MORROW, NATALIE SONJA (DDS)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:SONJA
Last Name:MORROW
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5622 BENGAL PL
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169-2554
Mailing Address - Country:US
Mailing Address - Phone:571-408-0884
Mailing Address - Fax:
Practice Address - Street 1:124 PARK ST SE STE 200
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4654
Practice Address - Country:US
Practice Address - Phone:703-938-7174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-15
Last Update Date:2024-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014190001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice