Provider Demographics
NPI:1558510610
Name:WILLIAM E. MORISAK DDS
Entity type:Organization
Organization Name:WILLIAM E. MORISAK DDS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:MORISAK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:330-644-6397
Mailing Address - Street 1:3515 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44319-1465
Mailing Address - Country:US
Mailing Address - Phone:330-644-6397
Mailing Address - Fax:330-644-2116
Practice Address - Street 1:3515 MANCHESTER RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44319
Practice Address - Country:US
Practice Address - Phone:330-644-6397
Practice Address - Fax:330-644-2116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH16461261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental