Provider Demographics
NPI:1407013568
Name:MICHAEL MORCH D.D.S. P.C.
Entity Type:Organization
Organization Name:MICHAEL MORCH D.D.S. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:MORCH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-785-2558
Mailing Address - Street 1:6308 FIVE MILE CENTRE PARK
Mailing Address - Street 2:BUILDING2 SUITE 209
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-5508
Mailing Address - Country:US
Mailing Address - Phone:540-785-2558
Mailing Address - Fax:
Practice Address - Street 1:6308 FIVE MILE CENTRE PARK
Practice Address - Street 2:BUILDING2 SUITE 209
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-5508
Practice Address - Country:US
Practice Address - Phone:540-785-2558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401006349261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental