Provider Demographics
NPI:1326125550
Name:MORRISON, JAMES C (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:C
Last Name:MORRISON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:JIM
Other - Middle Name:C
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:215 W RUSK ST
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-1652
Mailing Address - Country:US
Mailing Address - Phone:903-592-8411
Mailing Address - Fax:
Practice Address - Street 1:215 W RUSK ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-1652
Practice Address - Country:US
Practice Address - Phone:903-592-8411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX126781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice