Provider Demographics
NPI:1497818587
Name:MORRILL, MICHAEL STEVEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:STEVEN
Last Name:MORRILL
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 1:10722 KATELLA AVE
Mailing Address - Street 2:SUITE #1
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-8104
Mailing Address - Country:US
Mailing Address - Phone:714-991-3433
Mailing Address - Fax:714-991-5624
Practice Address - Street 1:10722 KATELLA AVE
Practice Address - Street 2:SUITE #1
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-8104
Practice Address - Country:US
Practice Address - Phone:714-991-3433
Practice Address - Fax:714-991-5624
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30121122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist