Provider Demographics
NPI:1427476589
Name:MORGAN FAMILY DENTISTRY
Entity type:Organization
Organization Name:MORGAN FAMILY DENTISTRY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:H
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:252-463-2181
Mailing Address - Street 1:PO BOX 202
Mailing Address - Street 2:
Mailing Address - City:COINJOCK
Mailing Address - State:NC
Mailing Address - Zip Code:27923-0202
Mailing Address - Country:US
Mailing Address - Phone:252-453-2181
Mailing Address - Fax:252-453-2325
Practice Address - Street 1:153 WORTH GUARD RD
Practice Address - Street 2:
Practice Address - City:COINJOCK
Practice Address - State:NC
Practice Address - Zip Code:27923-0202
Practice Address - Country:US
Practice Address - Phone:252-453-2181
Practice Address - Fax:252-453-2325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC47291223G0001X
NC96251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty