Provider Demographics
NPI:1811980022
Name:MORTON, MICHAEL JEFFREY (DMD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JEFFREY
Last Name:MORTON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 CHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3356
Mailing Address - Country:US
Mailing Address - Phone:856-778-1666
Mailing Address - Fax:856-778-0496
Practice Address - Street 1:232 CHESTER AVE
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3356
Practice Address - Country:US
Practice Address - Phone:856-778-1666
Practice Address - Fax:856-778-0496
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI011689001223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics