Provider Demographics
NPI:1144280975
Name:OSWALD, MORRIS MCKINLEY (DDS)
Entity type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:MCKINLEY
Last Name:OSWALD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1534 E RAY RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-4430
Mailing Address - Country:US
Mailing Address - Phone:480-279-6010
Mailing Address - Fax:480-279-5993
Practice Address - Street 1:1534 E RAY RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-4429
Practice Address - Country:US
Practice Address - Phone:480-279-6010
Practice Address - Fax:480-279-5993
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD56611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice