Provider Demographics
NPI:1083630289
Name:MORIO, DOMINIC G (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:DOMINIC
Middle Name:G
Last Name:MORIO
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Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:1275 N. CENTER POINT RD
Mailing Address - Street 2:
Mailing Address - City:HIAWATHA
Mailing Address - State:IA
Mailing Address - Zip Code:52233
Mailing Address - Country:US
Mailing Address - Phone:319-321-3814
Mailing Address - Fax:319-321-3814
Practice Address - Street 1:1275 N. CENTER POINT RD
Practice Address - Street 2:
Practice Address - City:HIAWATHA
Practice Address - State:IA
Practice Address - Zip Code:52233
Practice Address - Country:US
Practice Address - Phone:319-740-0077
Practice Address - Fax:319-743-0102
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2019-11-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA083821223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery