Provider Demographics
NPI:1780687780
Name:MORROW, LEE A (DDS)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:A
Last Name:MORROW
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 1:414 PORTAGE TRL
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-3228
Mailing Address - Country:US
Mailing Address - Phone:330-923-8111
Mailing Address - Fax:330-923-2718
Practice Address - Street 1:414 PORTAGE TRL
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-3228
Practice Address - Country:US
Practice Address - Phone:330-923-8111
Practice Address - Fax:330-923-2718
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH161011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice