John M Morales
Periodontist
4429 S River Blvd Suite D
Independence
, Missouri 64055-4658
John M Morales
Periodontist
4429 S River Blvd Suite D
Independence
, Missouri 64055-4658
(816) 373-0581
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- John M Morales
- 4429 S River Blvd Suite D
- Independence, MO
- Zip : 64055-4658
- Fax : (816) 373-0581
- Phone : (816) 373-0200
Second Address
- John M Morales
- 4429 S River Blvd Suite D
- Independence, MO
- Zip : 64055-4658
- Fax : (816) 373-0581
- Phone : (816) 373-0200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 12359 | MO |
National Provider Identifier
| NPI | 1013024991 |
|---|---|
| Provider Name | John M Morales |
| First Address | Independence, MO 64055-4658 |
| Second Address | Independence, MO 64055-4658 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 12359 | LICENSE NUMBER (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.