Provider Demographics
NPI:1538212253
Name:CHRIS J MORFAS, PC
Entity type:Organization
Organization Name:CHRIS J MORFAS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORFAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:219-322-9905
Mailing Address - Street 1:1001 MAIN ST
Mailing Address - Street 2:SUITE 2W
Mailing Address - City:DYER
Mailing Address - State:IN
Mailing Address - Zip Code:46311-1234
Mailing Address - Country:US
Mailing Address - Phone:219-322-9905
Mailing Address - Fax:219-322-9958
Practice Address - Street 1:1001 MAIN ST
Practice Address - Street 2:SUITE 2W
Practice Address - City:DYER
Practice Address - State:IN
Practice Address - Zip Code:46311-1234
Practice Address - Country:US
Practice Address - Phone:219-322-9905
Practice Address - Fax:219-322-9958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN=========OtherTAXPAYER ID