Basic Information
| Provider Information | |||||||||
| NPI: | 1144274051 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MOREY | ||||||||
| FirstName: | NEIL | ||||||||
| MiddleName: | EVANS | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DMD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 351 W 6TH ST, BLDG 440, | ||||||||
| Address2: | US ARMY DENTAL ACTIVITY (ATTN NANCY POSEY) | ||||||||
| City: | FORT STEWART | ||||||||
| State: | GA | ||||||||
| PostalCode: | 313140001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9127676735 | ||||||||
| FaxNumber: | 7067872082 | ||||||||
| Practice Location | |||||||||
| Address1: | 351 W 6TH ST, BLDG 440 | ||||||||
| Address2: | US ARMY DENTAL ACTIVITY | ||||||||
| City: | FORT STEWART | ||||||||
| State: | GA | ||||||||
| PostalCode: | 313140001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9127676735 | ||||||||
| FaxNumber: | 5205337285 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2006 | ||||||||
| LastUpdateDate: | 06/14/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | 7028 | KY | N | Dental Providers | Dentist | 1223E0200X | 7028 | KY | Y | Dental Providers | Dentist | Endodontics |
No ID Information.