Active NPI
George Dallas Morris III, D.D.S.
- General Practice Dentistry
- Danville, VA
National Provider Identifier
1366557597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401004903
- Practice address
- 570 Piney Forest Rd
Danville, VA 24540-3352 - Phone
- (434) 799-1217
- Fax
- (434) 799-2517
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401004903 | VA | Primary |
Addresses
Primary practice location
570 Piney Forest Rd
Danville, VA 24540-3352
Mailing address
570 Piney Forest Rd
Danville, VA 24540-3352
Phone (434) 799-1217
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4051746 | Other | TN | BLUE CROSS/BLUE SHEILD |
| 274515 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401004903 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366557597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 PINEY FOREST RD",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245403352",
"telephone_number": "434-799-1217",
"fax_number": "434-799-2517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 PINEY FOREST RD",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245403352",
"telephone_number": "434-799-1217",
"fax_number": "434-799-2517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "GEORGE",
"middle_name": "DALLAS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401004903",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHEILD",
"identifier": "4051746",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "274515",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.