Provider Demographics
NPI:1326390840
Name:SHAD L MORRIS DMD PC
Entity Type:Organization
Organization Name:SHAD L MORRIS DMD PC
Other - Org Name:PREMIER SLEEP SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRET
Authorized Official - Middle Name:
Authorized Official - Last Name:JORGENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-674-2100
Mailing Address - Street 1:75 S 100 E
Mailing Address - Street 2:SUITE 1E
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-4464
Mailing Address - Country:US
Mailing Address - Phone:435-674-2100
Mailing Address - Fax:435-674-2600
Practice Address - Street 1:75 S 100 E
Practice Address - Street 2:SUITE 1E
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-4464
Practice Address - Country:US
Practice Address - Phone:435-674-2100
Practice Address - Fax:435-674-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-08
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8338016332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment