Stephen Gannett Morse
Periodontist
612 Brighton Ave
Portland
, Maine 04102-2359
Stephen Gannett Morse
Periodontist
612 Brighton Ave
Portland
, Maine 04102-2359
(207) 874-6460
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Stephen Gannett Morse
- 612 Brighton Ave
- Portland, ME
- Zip : 04102-2359
- Fax : (207) 874-6460
- Phone : (207) 772-7459
Second Address
- Stephen Gannett Morse
- 612 Brighton Ave
- Portland, ME
- Zip : 04102-2359
- Fax : (207) 874-6460
- Phone : (207) 772-7459
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 3012 | ME |
National Provider Identifier
| NPI | 1114085255 |
|---|---|
| Provider Name | Stephen Gannett Morse |
| First Address | Portland, ME 04102-2359 |
| Second Address | Portland, ME 04102-2359 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/12/2006 |
| Last Update Date | 08/07/2007 |
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.