Provider Demographics
NPI:1891812426
Name:STANLEY S MCMORROW DDS PC
Entity Type:Organization
Organization Name:STANLEY S MCMORROW DDS PC
Other - Org Name:NORTON DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCMORROW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:508-285-7763
Mailing Address - Street 1:150 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:MA
Mailing Address - Zip Code:02766-2310
Mailing Address - Country:US
Mailing Address - Phone:508-285-7763
Mailing Address - Fax:508-286-9330
Practice Address - Street 1:150 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:MA
Practice Address - Zip Code:02766-2310
Practice Address - Country:US
Practice Address - Phone:508-285-7763
Practice Address - Fax:508-286-9330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA141591223G0001X
MA122411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1083675839Medicare UPIN
MA1265596431Medicare UPIN