Provider Demographics
NPI:1902184039
Name:MORRELL, MARC ERNEST (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:ERNEST
Last Name:MORRELL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MARTER AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3147
Mailing Address - Country:US
Mailing Address - Phone:856-242-2015
Mailing Address - Fax:856-242-2015
Practice Address - Street 1:200 MARTER AVE STE 500
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3147
Practice Address - Country:US
Practice Address - Phone:856-242-2015
Practice Address - Fax:856-242-2015
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-22
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI024831001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty