Provider Demographics
NPI:1184758054
Name:MORROW, JIM BILL (DDS,MS)
Entity type:Individual
Prefix:DR
First Name:JIM
Middle Name:BILL
Last Name:MORROW
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:TUSCUMBIA
Mailing Address - State:AL
Mailing Address - Zip Code:35674-2413
Mailing Address - Country:US
Mailing Address - Phone:256-383-0377
Mailing Address - Fax:256-383-0745
Practice Address - Street 1:121 E 6TH ST
Practice Address - Street 2:
Practice Address - City:TUSCUMBIA
Practice Address - State:AL
Practice Address - Zip Code:35674-2413
Practice Address - Country:US
Practice Address - Phone:256-383-0377
Practice Address - Fax:256-383-0745
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1371223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1532665-01Medicaid