Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DTP 420 | FL |
NPI | 1215993431 |
---|---|
Provider Name | Dr. Dean Morton |
First Address | Indianapolis, IN 46202-5186 |
Second Address | Indianapolis, IN 46202-5186 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 22/06/2016 |