Provider Demographics
NPI:1528179413
Name:MORRIS, DARCIE LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DARCIE
Middle Name:LYNN
Last Name:MORRIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 S 15TH ST
Mailing Address - Street 2:
Mailing Address - City:MT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98274-4507
Mailing Address - Country:US
Mailing Address - Phone:360-424-3611
Mailing Address - Fax:360-424-3300
Practice Address - Street 1:206 S 15TH ST
Practice Address - Street 2:
Practice Address - City:MT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98274-4507
Practice Address - Country:US
Practice Address - Phone:360-424-3611
Practice Address - Fax:360-424-3300
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000057381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice