Provider Demographics
NPI:1760500334
Name:MARK S. MORRIS, DDS, PLLC
Entity Type:Organization
Organization Name:MARK S. MORRIS, DDS, PLLC
Other - Org Name:MERRIMACK SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:S
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:603-272-6309
Mailing Address - Street 1:22 GREELEY STREET
Mailing Address - Street 2:SUITE 11
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054
Mailing Address - Country:US
Mailing Address - Phone:603-272-6309
Mailing Address - Fax:603-429-2092
Practice Address - Street 1:22 GREELEY STREET
Practice Address - Street 2:SUITE 11
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054
Practice Address - Country:US
Practice Address - Phone:603-272-6309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2013-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty