Provider Demographics
NPI:1679059422
Name:MORELL, DENNILYN JOYCE SARSOZO (DDS)
Entity Type:Individual
Prefix:
First Name:DENNILYN JOYCE
Middle Name:SARSOZO
Last Name:MORELL
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 1:538 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-3116
Mailing Address - Country:US
Mailing Address - Phone:910-724-4918
Mailing Address - Fax:
Practice Address - Street 1:15 MDG
Practice Address - Street 2:755 SCOTT CIRCLE
Practice Address - City:JBPHH
Practice Address - State:HI
Practice Address - Zip Code:96853-5399
Practice Address - Country:US
Practice Address - Phone:808-443-6371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11076122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist