Individual
DEREK R MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
500 S HIGHWAY 19, PALATKA, FL 32177-3943
(386) 325-5467
(386) 325-2635
Mailing address
500 S HIGHWAY 19, PALATKA, FL 32177-3943
(386) 325-5467
(386) 325-2635
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6655868-9921
UT
122300000X
Dentist
Primary
DN19475
FL
Other
Enumeration date
07/02/2007
Last updated
07/31/2012
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