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Individual

DR. ISSAC DRAKE MORTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MD

Contact information

Practice address
7777 HENNESSY BLVD, MEDICAL PLAZA 1, SUITE 306, BATON ROUGE, LA 70808
(225) 763-3939
(225) 763-3947
Mailing address
7777 HENNESSY BLVD STE 306, BATON ROUGE, LA 70808-4365
(225) 763-3939
(225) 763-3947

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
11335
NC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
36130
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
7712
LA
208600000X
Surgery Physician
345913
LA

Other

Enumeration date
11/06/2015
Last updated
08/14/2025
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