Provider Demographics
NPI:1053449033
Name:MORRIS, STEPHEN C (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:C
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5666 SEMINOLE BLVD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33772-7328
Mailing Address - Country:US
Mailing Address - Phone:727-391-0273
Mailing Address - Fax:727-391-1870
Practice Address - Street 1:5666 SEMINOLE BLVD
Practice Address - Street 2:SUITE 4
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772-7328
Practice Address - Country:US
Practice Address - Phone:727-391-0273
Practice Address - Fax:727-391-1870
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDN00103511223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT87526Medicare UPIN