Individual
DR. DENNIS PAUL MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6305 W 95TH ST, OAK LAWN, IL 60453-2255
(708) 425-4300
(708) 425-4310
Mailing address
13395 SHADOW CREEK DRIVE, PALOS HEIGHTS, IL 60463
(708) 389-4145
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019-15088
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P15891
MEDICARE PIN
IL
Enumeration date
10/24/2006
Last updated
07/09/2007
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