Provider Demographics
NPI:1609133610
Name:MORRIS, LINDSAY REBECCA (DMD)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:REBECCA
Last Name:MORRIS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18014 MATENY RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-2112
Mailing Address - Country:US
Mailing Address - Phone:301-540-3100
Mailing Address - Fax:
Practice Address - Street 1:18014 MATENY RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-2112
Practice Address - Country:US
Practice Address - Phone:301-540-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-15
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN197481223G0001X
MD152831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice