Provider Demographics
NPI:1043298508
Name:ROBERT H. MORRIS, DMD, PSC
Entity Type:Organization
Organization Name:ROBERT H. MORRIS, DMD, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:859-277-5759
Mailing Address - Street 1:1640 NICHOLASVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1491
Mailing Address - Country:US
Mailing Address - Phone:859-277-5759
Mailing Address - Fax:859-278-3817
Practice Address - Street 1:1640 NICHOLASVILLE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1491
Practice Address - Country:US
Practice Address - Phone:859-277-5759
Practice Address - Fax:859-278-3817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY43491223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY61942264Medicaid
KY61901153Medicaid
KY65907107Medicaid
KY65940496Medicaid
KY64043490Medicaid
KY65944217Medicaid
KY60043494Medicaid
KY61900205Medicaid
KY61942264Medicaid
KY60043494Medicaid