Provider Demographics
NPI:1538287859
Name:MORRIS, PETER CHRISTOPHER (DMD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:CHRISTOPHER
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-5889
Mailing Address - Country:US
Mailing Address - Phone:508-875-1213
Mailing Address - Fax:508-875-4736
Practice Address - Street 1:400 UNION AVE
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5889
Practice Address - Country:US
Practice Address - Phone:508-875-1213
Practice Address - Fax:508-875-4736
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA148691223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology