Provider Demographics
NPI:1043373293
Name:MORRISON, HENRY ROSS (DDS)
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:ROSS
Last Name:MORRISON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17000 E 40 HWY
Mailing Address - Street 2:SUITE 6
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-5394
Mailing Address - Country:US
Mailing Address - Phone:816-373-8282
Mailing Address - Fax:816-373-8274
Practice Address - Street 1:17000 E 40 HWY
Practice Address - Street 2:SUITE 6
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-5394
Practice Address - Country:US
Practice Address - Phone:816-373-8282
Practice Address - Fax:816-373-8274
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO015052122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist