Provider Demographics
NPI:1154322444
Name:BRANCH, MORRIS ANDREW (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:ANDREW
Last Name:BRANCH
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8901 WISCONSIN AVE
Mailing Address - Street 2:OROFACIAL PAIN CENTER
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-295-1495
Mailing Address - Fax:301-295-2070
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:OROFACIAL PAIN CENTER
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-1495
Practice Address - Fax:301-295-2070
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS41811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice