Provider Demographics
NPI:1841253929
Name:MORRIS, JAMIE J (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:J
Last Name:MORRIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2261 HUGHES AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:LACKLAND AFB
Mailing Address - State:TX
Mailing Address - Zip Code:78236-9819
Mailing Address - Country:US
Mailing Address - Phone:210-925-1864
Mailing Address - Fax:210-925-1126
Practice Address - Street 1:2261 HUGHES AVE STE 120
Practice Address - Street 2:
Practice Address - City:LACKLAND AFB
Practice Address - State:TX
Practice Address - Zip Code:78236-9819
Practice Address - Country:US
Practice Address - Phone:210-925-1864
Practice Address - Fax:210-925-1126
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD76921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice