Organization
RICHARD B MORRISON, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MORRISON D.D.S. (PRESIDENT)
(906) 647-9201
Entity
Organization
Contact information
Practice address
205 E. MAIN ST., PICKFORD, MI 49774
(906) 647-9201
Mailing address
PO BOX 308, 205 E MAIN STREET, PICKFORD, MI 49774-0308
(906) 647-9201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467502633
—
MI
01
—
D800167
MI BCBS
MI
Enumeration date
01/11/2007
Last updated
10/04/2007
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