Provider Demographics
NPI:1417036476
Name:MORRIS, GUYLE EVAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:GUYLE
Middle Name:EVAN
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 POND ST STE 303
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-3823
Mailing Address - Country:US
Mailing Address - Phone:508-520-1249
Mailing Address - Fax:508-520-2243
Practice Address - Street 1:38 POND ST STE 303
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-3823
Practice Address - Country:US
Practice Address - Phone:508-520-1249
Practice Address - Fax:508-520-2243
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA177141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice