Provider Demographics
NPI:1093733453
Name:MORRISSETTE, MICHAEL P (ORAL SURGEON)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:P
Last Name:MORRISSETTE
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Gender:M
Credentials:ORAL SURGEON
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Mailing Address - Street 1:3801 LAS POSAS RD STE 202
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-1426
Mailing Address - Country:US
Mailing Address - Phone:805-987-1317
Mailing Address - Fax:805-987-7194
Practice Address - Street 1:3801 LAS POSAS RD STE 202
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-1426
Practice Address - Country:US
Practice Address - Phone:805-987-1317
Practice Address - Fax:805-987-7194
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2023-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAD341671223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology