Provider Demographics
NPI:1649685884
Name:FORNEY FAMILY DENTISTRY & ORTHODONTICS PC
Entity type:Organization
Organization Name:FORNEY FAMILY DENTISTRY & ORTHODONTICS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-564-7575
Mailing Address - Street 1:108 E US HIGHWAY 80 STE 190
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-8698
Mailing Address - Country:US
Mailing Address - Phone:972-564-7575
Mailing Address - Fax:972-564-0505
Practice Address - Street 1:108 E US HIGHWAY 80 STE 190
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-8698
Practice Address - Country:US
Practice Address - Phone:972-564-7575
Practice Address - Fax:972-564-0505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-26
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty