1629167101

Everything you always wanted to know about DR. MORRIS LARRY JOHN D.M.D, but were afraid to ask.

DR. MORRIS LARRY JOHN D.M.D,

You can also download the this 1629167101 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. MORRIS LARRY JOHN D.M.D,
Gender:
Male
Enumeration date:
2006-10-12
Last update date:
2011-04-12
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state
073210900 Medicaid none FL

Taxonomies

Taxonomy State License Number Primary?
1223S0112X Oral and Maxillofacial Surgery FL DN6078 Y

Phone Numbers

Type Number
Mailing Address Fax Number 8504762513
Practice Location Address Fax Number 8504762513
Mailing Address Telephone Number 8504787070
Practice Location Address Telephone Number 8504787070

Addresses

Type Address City State Postal Country
Mailing Address 4850 N 9TH AVE STE 1 PENSACOLA FL 32503 FL
Practice Location Address 4850 N 9TH AVE STE 1 PENSACOLA FL 32503 FL

Other NPI Records that share a phone number

NPI Name Address State City
1598069239 NORTHWEST FLORIDA ORAL AND MAX
Organization
4850 N 9TH AVE STE 1 FL PENSACOLA
1629049507 LAGGAN, BRETT
Individual
4850 N 9TH AVE STE 1 FL PENSACOLA
1699081919 NORTHWEST FLORIDA ORAL AND MAX
Organization
4850 N 9TH AVE STE 1 FL PENSACOLA

Other NPI Records that share an address

NPI Name Address State City
1598069239 NORTHWEST FLORIDA ORAL AND MAX
Organization
4850 N 9TH AVE STE 1 FL PENSACOLA
1629049507 LAGGAN, BRETT
Individual
4850 N 9TH AVE STE 1 FL PENSACOLA
1699081919 NORTHWEST FLORIDA ORAL AND MAX
Organization
4850 N 9TH AVE STE 1 FL PENSACOLA

Other NPI Records that share an identifier

NPI Name Address State City Identifier types that matches
1598069239 NORTHWEST FLORIDA ORAL AND MAX
Organization
4850 N 9TH AVE STE 1 FL PENSACOLA Identifier: 073210900 (Medicaid)
1699081919 NORTHWEST FLORIDA ORAL AND MAX
Organization
4850 N 9TH AVE STE 1 FL PENSACOLA Identifier: 073210900 (Medicaid)