Organization
MORRISON DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRIUCIA FITZSIMMONS (OFFICE MANAGER)
(843) 706-2146
Entity
Organization
Contact information
Practice address
15 BUCK ISLAND RD, BLUFFTON, SC 29910-5936
(843) 706-2146
(843) 706-2149
Mailing address
15 BUCK ISLAND RD, BLUFFTON, SC 29910-5936
(843) 706-2146
(843) 706-2149
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3626
SC
1223P0106X
Oral and Maxillofacial Pathology Dentistry
4005
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9711
—
SC
Enumeration date
10/05/2006
Last updated
08/03/2015
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