DR. WILLIAM D MORRELL (NPI# 1114063518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114063518 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM D MORRELL |
| Credential | DDS |
| Practice Address |
565 5th St Brookings OR 97415-9702 |
| Practice Telephone | 5414695371 |
| Practice Fax Number | 5414120177 |
| Mailing Telephone | 5414695371 |
| Mailing Fax Number | 5414120177 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D8680 | OR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | LICENSE | D8680 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679778740 | William Scott Morrell | Dentist | 403 S 11th St Ste 200, Boise, ID 83702-6968 | 2007-06-19 |
| Street Address |
565 5TH ST |
| City | BROOKINGS |
| State | OR |
| Zip Code | 97415-9702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801906615 | Dane E Smith | Dentist | 565 5th St, Brookings, OR 97415-9702 | 2006-08-30 |
| 1457884934 | Brookings Dental Group, LLC | Dentist | 565 5th St, 2, Brookings, OR 97415-9724 | 2017-04-11 |
| 1316360795 | Devin Leslie | Physical Therapist | 565 5th St, Brookings, OR 97415-9724 | 2014-01-21 |
| 1871936211 | Brendan Robert Boucher | Physical Therapist | 565 5th St, Brookings, OR 97415-9724 | 2013-04-16 |
| 1679817845 | Shirley Garmin Cheung | Dentist | 565 5th St, Brookings, OR 97415-9724 | 2012-11-12 |
| 1811144215 | Barbara Lynn Woodcock | Physical Therapy Assistant | 565 5th St, Brookings, OR 97415-9724 | 2008-08-27 |
| 1649352113 | Marlin M Montgomery | Dentist | 565 5th St, Brookings, OR 97415-9702 | 2006-10-20 |
| 1861591679 | Dane E. Smith Dds PC | Dentist | 565 5th St, Brookings, OR 97415-9702 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
| 1912564329 | Lori A Burkart | Speech-Language Pathologist | Curry Medical Ctr, 500 5th Street, Brookings, OR 97415 | 2019-05-21 |
| 1881144178 | Costa Clinical Psychology, LLC | Social Worker | 625 Spruce St., # 7666, Brookings, OR 97415 | 2016-10-11 |
| 1194173898 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 410 Maple St, Brookings, OR 97415 | 2016-06-03 |
| 1336595784 | Monica Shaw | Case Manager/Care Coordinator | 412 Alder, Brookings, OR 97415 | 2016-05-04 |
| 1639531437 | Ian Leonard | Behavioral Analyst | 450 Sb Chetco River Road, Brookings, OR 97415 | 2016-03-22 |
| 1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
| 1699033365 | Sunlight Family Center, LLC | Clinic/Center | 604 Spruce Street, Brookings, OR 97415 | 2012-05-01 |
| 1649544784 | Oregon Coast Wellness Inc. | Clinic/Center | 648 Chetco Ave., Brookings, OR 97415 | 2012-03-07 |
| 1790072544 | Elizabeth A. Nation | Registered Nurse | 96343 Alder Ridge Road, Brookings, OR 97415 | 2011-06-30 |
| Find all providers in zip 97415 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871707554 | Erik Mark Treman Wiseman | Dentist | 719 Main Ave, Brookings, SD 57006-1426 | 2007-05-10 |
| 1457493066 | Konard O. Hauffe, Dds, PC | Dentist | 717 Main Ave, Brookings, SD 57006-1426 | 2007-02-12 |
| 1235287277 | Brian J Larsson | Dentist | 414 Alder Street, Brookings, OR 97415 | 2007-01-08 |
| 1982618195 | Geoffrey B Johnson | Dentist | 2215 Derdall Dr, Brookings, SD 57006-2851 | 2006-07-27 |
| 1750310413 | Benjamin Lee Gates | Dentist | 305 Main Ave S, Brookings, SD 57006-3118 | 2006-07-02 |
| 1013983170 | Konard Otto Hauffe | Dentist | 717 N. Main Ave., Brookings, SD 57006 | 2006-02-27 |
| 1215909692 | Randy Lee Knutzen | Dentist | 2311 Yorkshire Dr, Brookings, SD 57006 | 2006-02-01 |
| 1720087810 | Richard Ariel Edmiston | Dentist | 350 Pacific Ave, Brookings, OR 97415-0069 | 2005-07-20 |
| 1063411353 | Charles E Jones Jr. | Dentist | 616 5th St, Brookings, OR 97415-9199 | 2005-07-19 |
| 1144755166 | Hillary Van Dyke | Dentist | 2220 Yorkshire Dr, Brookings, SD 57006-2442 | 2017-04-27 |
| Find all providers in BROOKINGS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.