# BEVERLY T MORRIS DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407806789
- **Authorized official:** MRS. ANGELA L. JUSTICE (BUSINESS MANAGER)
- **Authorized official phone:** (734) 692-0102

## Contact information

- **Practice address:** 24201 MERIDIAN RD, GROSSE ILE, MI 48138-2134
- **Practice address phone:** (734) 692-0102
- **Practice address fax:** (734) 692-1541
- **Mailing address:** 24201 MERIDIAN RD, GROSSE ILE, MI 48138-2134
- **Mailing address phone:** (734) 692-0102
- **Mailing address fax:** (734) 692-1541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 02/16/2011