Provider Demographics
NPI:1659366813
Name:MORSE, JODY LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JODY
Middle Name:LYNN
Last Name:MORSE
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 1:633 HOPKINS RD
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-9379
Mailing Address - Country:US
Mailing Address - Phone:336-996-4400
Mailing Address - Fax:336-996-4401
Practice Address - Street 1:633 HOPKINS RD
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-9379
Practice Address - Country:US
Practice Address - Phone:336-996-4400
Practice Address - Fax:336-996-4401
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8119122300000X, 1223G0001X
IL0190241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice