Provider Demographics
NPI:1902813793
Name:MORRIS, TRUMILLA FUTCH (DDS)
Entity Type:Individual
Prefix:DR
First Name:TRUMILLA
Middle Name:FUTCH
Last Name:MORRIS
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 1:7846C ATHENS RD
Mailing Address - Street 2:
Mailing Address - City:STOKESDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27357-9302
Mailing Address - Country:US
Mailing Address - Phone:336-643-6333
Mailing Address - Fax:336-643-6333
Practice Address - Street 1:7846C ATHENS RD
Practice Address - Street 2:
Practice Address - City:STOKESDALE
Practice Address - State:NC
Practice Address - Zip Code:27357-9302
Practice Address - Country:US
Practice Address - Phone:336-643-6333
Practice Address - Fax:336-643-6333
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC60671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8996211Medicaid
NC8996211Medicaid