Provider Demographics
NPI:1932438900
Name:GUYLE E. MORRIS DMD LLC
Entity Type:Organization
Organization Name:GUYLE E. MORRIS DMD LLC
Other - Org Name:GUYLE E. MORRIS DMD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GUYLE
Authorized Official - Middle Name:EVAN
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-520-1249
Mailing Address - Street 1:38 POND ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-3807
Mailing Address - Country:US
Mailing Address - Phone:508-520-1249
Mailing Address - Fax:508-520-2243
Practice Address - Street 1:38 POND ST
Practice Address - Street 2:SUITE 303
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-3807
Practice Address - Country:US
Practice Address - Phone:508-520-1249
Practice Address - Fax:508-520-2243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA177141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty