Provider Demographics
NPI:1275697393
Name:MORRIS, HEATHER T I (DMD)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:T
Last Name:MORRIS
Suffix:I
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9787 ZIG ZAG RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-7113
Mailing Address - Country:US
Mailing Address - Phone:513-871-3355
Mailing Address - Fax:
Practice Address - Street 1:3284 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-1003
Practice Address - Country:US
Practice Address - Phone:513-583-5700
Practice Address - Fax:513-583-5783
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-02-15231223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics