Provider Demographics
NPI:1760516751
Name:MORSE, JAMES ERSKINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ERSKINE
Last Name:MORSE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 E MAIN ST
Mailing Address - Street 2:P.O.BOX 190
Mailing Address - City:CRAWFORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47933-3146
Mailing Address - Country:US
Mailing Address - Phone:765-362-5341
Mailing Address - Fax:765-362-5348
Practice Address - Street 1:1717 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CRAWFORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47933-3146
Practice Address - Country:US
Practice Address - Phone:765-362-5341
Practice Address - Fax:765-362-5348
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120080101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice