Provider Demographics
NPI:1063683852
Name:PAUL KYLER MORRIS, DDS, PA
Entity Type:Organization
Organization Name:PAUL KYLER MORRIS, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:KYLER
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-643-6333
Mailing Address - Street 1:7846C ATHENS RD
Mailing Address - Street 2:
Mailing Address - City:STOKESDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27357-9302
Mailing Address - Country:US
Mailing Address - Phone:336-643-6333
Mailing Address - Fax:336-643-6333
Practice Address - Street 1:7846C ATHENS RD
Practice Address - Street 2:
Practice Address - City:STOKESDALE
Practice Address - State:NC
Practice Address - Zip Code:27357-9302
Practice Address - Country:US
Practice Address - Phone:336-643-6333
Practice Address - Fax:336-643-6333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC55641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty