Provider Demographics
NPI:1407689656
Name:MORGAN, ZANYCE (RDH)
Entity type:Individual
Prefix:
First Name:ZANYCE
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:395 MAIN STREET LOOP
Mailing Address - Street 2:
Mailing Address - City:KENAI
Mailing Address - State:AK
Mailing Address - Zip Code:99611-7727
Mailing Address - Country:US
Mailing Address - Phone:907-283-7759
Mailing Address - Fax:
Practice Address - Street 1:395 MAIN STREET LOOP
Practice Address - Street 2:
Practice Address - City:KENAI
Practice Address - State:AK
Practice Address - Zip Code:99611-7727
Practice Address - Country:US
Practice Address - Phone:907-283-7759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK124Q00000X124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist