Provider Demographics
NPI:1457376675
Name:MORRIS, JAMES YANCY (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:YANCY
Last Name:MORRIS
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 1:805 JOHNS HOPKINS DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-7223
Mailing Address - Country:US
Mailing Address - Phone:252-752-6644
Mailing Address - Fax:252-752-6828
Practice Address - Street 1:805 JOHNS HOPKINS DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-7223
Practice Address - Country:US
Practice Address - Phone:252-752-6644
Practice Address - Fax:252-752-6828
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC43801223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VATRIGON BCBSOtherBCBS OF VA
TN3148242OtherBCBS OF TN
AL810-13925OtherBCBS OF AL
7919OtherUNITED CONCORDIA