Morris, John Larry

Morris, John Larry is an individual health care provider with primary practice located at 4850 N 9Th Ave Ste 1 , Pensacola FL 32503-2406. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Morris, John Larry can be contacted via phone (850) 478-7070.

Contact Information

Primary practice address
4850 N 9Th Ave Ste 1 Pensacola FL 32503-2406
Fax: (850) 476-2513
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN6078 Florida

Profile Details

NPI number 1629167101
LBN Legal business name Morris, John Larry
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Apr 12th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629167101 NPPES
Florida MEDICAID 073210900

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