Organization
SHAD L MORRIS DMD PC
Active
Other names
Premier Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAD L MORRIS DMD (OWNER)
(435) 586-6526
Entity
Organization
Contact information
Practice address
427 S MAIN ST, STE 101, CEDAR CITY, UT 84720
(435) 586-6526
(435) 867-9203
Mailing address
427 S MAIN ST, STE 101, CEDAR CITY, UT 84720
(435) 586-6526
(435) 867-9203
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
02800149922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02800149900001
BLUE CROSS BLUE SHIELD
UT
05
—
S29980447007
—
UT
Enumeration date
12/13/2006
Last updated
08/22/2020
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