Individual
JACOB TIMOTHY MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2 UTAH DR, KULPMONT, PA 17834-1972
(570) 373-5563
Mailing address
2 UTAH DR, KULPMONT, PA 17834-1972
(570) 898-3017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS042735
PA
Other
Enumeration date
02/16/2019
Last updated
05/11/2021
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