Active NPI
Mtizi Dee Morris, D.M.D.
- Dentist
- Roswell, GA
National Provider Identifier
1922110428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- GA 011187
- Practice address
- 1297 Hembree Rd
Ste 202
Roswell, GA 30076-5721 - Phone
- (770) 475-6767
- Fax
- (770) 475-0493
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | GA 011187 | GA | Primary |
Addresses
Primary practice location
1297 Hembree Rd
Ste 202
Roswell, GA 30076-5721
Mailing address
1297 Hembree Rd
Ste 202
Roswell, GA 30076
Phone (770) 475-6767
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 |
|---|---|---|---|
| GA 011187 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1922110428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1297 HEMBREE RD",
"address_2": "STE 202",
"city": "ROSWELL",
"state": "GA",
"postal_code": "30076",
"telephone_number": "770-475-6767",
"fax_number": "770-485-0493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1297 HEMBREE RD",
"address_2": "STE 202",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765721",
"telephone_number": "770-475-6767",
"fax_number": "770-475-0493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "MTIZI",
"middle_name": "DEE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2024-08-15",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "GA 011187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.