Individual
STEPHEN GANNETT MORSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
612 BRIGHTON AVE, PORTLAND, ME 04102-2359
(207) 772-7459
(207) 874-6460
Mailing address
612 BRIGHTON AVE, PORTLAND, ME 04102-2359
(207) 772-7459
(207) 874-6460
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3012
ME
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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