Provider Demographics
NPI:1598925760
Name:LARRY B MORRIS, D.M.D., P.C.
Entity Type:Organization
Organization Name:LARRY B MORRIS, D.M.D., P.C.
Other - Org Name:MESQUITE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:B
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:702-346-2882
Mailing Address - Street 1:61 N WILLOW ST STE 1
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:NV
Mailing Address - Zip Code:89027-4786
Mailing Address - Country:US
Mailing Address - Phone:702-346-2882
Mailing Address - Fax:702-346-8714
Practice Address - Street 1:61 N WILLOW ST STE 1
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:NV
Practice Address - Zip Code:89027-4786
Practice Address - Country:US
Practice Address - Phone:702-346-2882
Practice Address - Fax:702-346-8714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty