Organization
TERESA FAYE MORRIS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA FAYE MORRIS DDS (PRESIDENT)
(417) 882-2444
Entity
Organization
Contact information
Practice address
3259 E SUNSHINE ST STE K, SPRINGFIELD, MO 65804-2143
(417) 882-2444
Mailing address
3259 E SUNSHINE ST STE K, SPRINGFIELD, MO 65804-2143
(417) 882-2444
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2005013599
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005013599
DENTIST
MO
Enumeration date
01/06/2014
Last updated
01/06/2014
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