Provider Demographics
NPI:1871881292
Name:MORRIS, ROBERT TYLER (DDS)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:TYLER
Last Name:MORRIS
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 1:25502 OAKTON SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8558
Mailing Address - Country:US
Mailing Address - Phone:832-992-2200
Mailing Address - Fax:
Practice Address - Street 1:4724 SWEETWATER BLVD
Practice Address - Street 2:#105
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3149
Practice Address - Country:US
Practice Address - Phone:832-992-2200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-19
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30770122300000X, 1223S0112X
FLDRP9551223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist