Provider Demographics
NPI:1255440822
Name:MORRIS, WINSTON CHARLES (DMD)
Entity type:Individual
Prefix:DR
First Name:WINSTON
Middle Name:CHARLES
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:US ARMY HOSPITALHDENTAC CREDENTIALS OFFICE
Mailing Address - Street 2:KARLSRUHE STR 144 NACHRICTEN KASERNE BLDG. 3607
Mailing Address - City:HEIDELBERG
Mailing Address - State:BADEN WURTEMBOURG
Mailing Address - Zip Code:69126
Mailing Address - Country:DE
Mailing Address - Phone:622-117-2728
Mailing Address - Fax:
Practice Address - Street 1:US ARMY HOSPITAL HDENTAC CREDENTIALS OFFICE
Practice Address - Street 2:KARLSRUHESTR 144 NACHRICTEN KASERNE BLDG. 3607
Practice Address - City:HEIDELBERG
Practice Address - State:BADEN WURTEMBOURG
Practice Address - Zip Code:69126
Practice Address - Country:DE
Practice Address - Phone:622-117-2728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL48881223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics