Provider Demographics
NPI:1770699845
Name:MORRISON, RICHARD DENNIS (DDS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DENNIS
Last Name:MORRISON
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 1:212 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MT
Mailing Address - Zip Code:59044-3014
Mailing Address - Country:US
Mailing Address - Phone:406-628-4418
Mailing Address - Fax:406-628-4418
Practice Address - Street 1:212 1ST AVE
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MT
Practice Address - Zip Code:59044-3014
Practice Address - Country:US
Practice Address - Phone:406-628-4418
Practice Address - Fax:406-628-4418
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT15471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice