| Morristown Family Dentistry, Llc | |
|
347 W Main St Morristown IN 46161-9792 | |
| (765) 763-6412 | |
| (765) 763-6815 |
| Full Name | Morristown Family Dentistry, Llc |
|---|---|
| Speciality | Dentist |
| Location | 347 W Main St, Morristown, Indiana |
| Authorized Official Name and Position | Russell S Staggs (SOLE DENTIST) |
| Authorized Official Contact | 7657636412 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Morristown Family Dentistry, Llc 347 W Main St Morristown IN 46161-9792 Ph: (765) 763-6412 | Morristown Family Dentistry, Llc 347 W Main St Morristown IN 46161-9792 Ph: (765) 763-6412 |
| NPI Number | 1154665073 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154665073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19010197 (Indiana) | Primary |