Provider Demographics
NPI:1326238684
Name:MORTON, IRIS JEFFRIES (DDS)
Entity Type:Individual
Prefix:DR
First Name:IRIS
Middle Name:JEFFRIES
Last Name:MORTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2712 UNICORN LN NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015-2234
Mailing Address - Country:US
Mailing Address - Phone:202-364-1309
Mailing Address - Fax:202-237-5012
Practice Address - Street 1:2712 UNICORN LN NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015-2234
Practice Address - Country:US
Practice Address - Phone:202-364-1309
Practice Address - Fax:202-237-5012
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD65471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice