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Individual

DR. CLARK LOGAN MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2800 WAKEFIELD PINES DRIVE, SUITE 110, RALEIGH, NC 27614
(919) 570-0180
(919) 570-0280
Mailing address
2800 WAKEFIELD PINES DRIVE, SUITE 110, RALEIGH, NC 27614
(919) 570-0180
(919) 570-0280

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
0442000185
VA
1223P0221X
Pediatric Dentistry
Primary
9927
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1083053029
NC
Enumeration date
06/24/2013
Last updated
07/31/2025
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