Morrison Dental, PLLC
Dentist, General Practice in San Antonio, TX. Organization (NPI-2).
NPI number1639765019
StatusActive
Last updated in NPPESNov 21, 2022
Details
- NPI
- 1639765019
- Entity type
- Organization (NPI-2)
- Legal business name
- Morrison Dental, PLLC
- Organization subpart
- No
- Enumeration date
- Dec 18, 2020
- Certification date
- Nov 21, 2022
- Last updated
- Nov 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Market Ridge Dental (Doing Business As)
Practice location
21023 Market RdgSan Antonio, TX 78258-4975
Phone 210-660-7242
Mailing address
21023 Market Rdg Ste 104San Antonio, TX 78258-4975
Phone 210-960-2690
Authorized official
Megan Blair Morrison
Member
2106607242
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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