Provider Demographics
NPI:1619036647
Name:MORRIS-VEASEY, CAROLYN B (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:B
Last Name:MORRIS-VEASEY
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 1:6601 RIGGS RD
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-1537
Mailing Address - Country:US
Mailing Address - Phone:301-559-2000
Mailing Address - Fax:
Practice Address - Street 1:6601 RIGGS RD
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-1537
Practice Address - Country:US
Practice Address - Phone:301-559-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD099121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD487337OtherUNITED CONCRODIA
MD0017990 00Medicaid
MD753266687OtherFEDERAL TAX ID