Provider Demographics
NPI:1588094916
Name:MORGAN, DAVID ERIC (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ERIC
Last Name:MORGAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 WORTH GUARD RD
Mailing Address - Street 2:PO BOX 202
Mailing Address - City:COINJOCK
Mailing Address - State:NC
Mailing Address - Zip Code:27923-9766
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:27923-9766
Practice Address - Country:US
Practice Address - Phone:252-453-2181
Practice Address - Fax:252-453-2325
Is Sole Proprietor?:No
Enumeration Date:2013-11-21
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC96251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice