Individual
DR. KENNY J MORRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2252 YAUPON DR, WILMINGTON, NC 28401
(910) 762-0786
(910) 343-8044
Mailing address
2252 YAUPON DR, WILMINGTON, NC 28401
(910) 762-0786
(910) 343-8044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5935
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7996208
—
NC
01
—
96208
BCBS OF NC
NC
Enumeration date
11/15/2006
Last updated
07/08/2007
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