Provider Demographics
NPI:1346332673
Name:MORRISH, ROBERT BYRON (DDS)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:BYRON
Last Name:MORRISH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 ELCERRO BLVD
Mailing Address - Street 2:SUITE #D
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526
Mailing Address - Country:US
Mailing Address - Phone:925-837-7277
Mailing Address - Fax:925-831-1876
Practice Address - Street 1:300 ELCERRO BLVD
Practice Address - Street 2:SUITE #D
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526
Practice Address - Country:US
Practice Address - Phone:925-837-7277
Practice Address - Fax:925-831-1876
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA221661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice