Morristown Family Dentistry, LLC

NPI #1154665073 in Morristown, Indiana

Provider Information

NPI Number: 1154665073
Entity Type: Organization
Organization Name: Morristown Family Dentistry, LLC
Primary Specialty: Dentist
Enumeration Date: Nov 15, 2012
Last Updated: Nov 15, 2012

Practice Location

Address: 347 W MAIN ST
City: Morristown
State: Indiana
ZIP Code: 46161-9792
Phone: (765) 763-6412

Authorized Official

Name: DR. RUSSELL S STAGGS, DDS
Title: SOLE DENTIST
Phone: (765) 763-6412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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