Provider Demographics
NPI:1336229848
Name:WERTHEIMER, MORTON LOUIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:MORTON
Middle Name:LOUIS
Last Name:WERTHEIMER
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 1:2 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5215
Mailing Address - Country:US
Mailing Address - Phone:973-538-5660
Mailing Address - Fax:
Practice Address - Street 1:2 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-5215
Practice Address - Country:US
Practice Address - Phone:973-538-5660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0077541223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics