Stephen John Morris, DDS
Individual provider Active NPI General Practice Dentistry · Dawson, MN
NPI 1700874005 · NPPES record last updated Oct 7, 2020
Key facts
- NPI
- 1700874005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D7885 (MN)
- Practice address
- 737 Pine St
Dawson, MN 56232-1008 - Phone
- (320) 769-2050
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7885 | MN | MD | General Practice Dentistry |
| 7885 | MN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7885 | MN | |
| General Practice Dentistry | 1223G0001X | D7885 | MN | Yes |
Addresses
Primary practice location
737 Pine St
Dawson, MN 56232-1008
Mailing address
737 Pine St
PO Box 1008
Dawson, MN 56232-1008
Phone (320) 769-2050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 676515700 | Medicaid | MN |
Other providers in Dawson, MN
- Jorzach Inc
- Lisa Marie Kuechenmeister
- Carla Rae Lee
- Anna Christance Lewis
- Jessica Marie Mamer
- Nelson Rexall Drug Co
- Julie A Olson
- Amanda Paradis
- Erik J Shelstad
- Sonshine Home Health Care LLC
All providers in Dawson, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.