Provider Demographics
NPI:1649383423
Name:MORRIS, FRANK BRADY (DMD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:BRADY
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 JACK WARNER PKWAY NE SUITE J1
Mailing Address - Street 2:
Mailing Address - City:TUSCALSOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35404
Mailing Address - Country:US
Mailing Address - Phone:205-556-6110
Mailing Address - Fax:205-553-5325
Practice Address - Street 1:535 JACK WARNER PKWAY NE SUITE J1
Practice Address - Street 2:
Practice Address - City:TUSCALSOSA
Practice Address - State:AL
Practice Address - Zip Code:35404
Practice Address - Country:US
Practice Address - Phone:205-556-6110
Practice Address - Fax:205-553-5325
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3355122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist