Provider Demographics
NPI:1144274051
Name:MOREY, NEIL EVANS (DMD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:EVANS
Last Name:MOREY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 W 6TH ST, BLDG 440,
Mailing Address - Street 2:US ARMY DENTAL ACTIVITY (ATTN NANCY POSEY)
Mailing Address - City:FORT STEWART
Mailing Address - State:GA
Mailing Address - Zip Code:31314-0001
Mailing Address - Country:US
Mailing Address - Phone:912-767-6735
Mailing Address - Fax:706-787-2082
Practice Address - Street 1:351 W 6TH ST, BLDG 440
Practice Address - Street 2:US ARMY DENTAL ACTIVITY
Practice Address - City:FORT STEWART
Practice Address - State:GA
Practice Address - Zip Code:31314-0001
Practice Address - Country:US
Practice Address - Phone:912-767-6735
Practice Address - Fax:520-533-7285
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY7028122300000X, 1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist