Provider Demographics
NPI:1972172385
Name:LAUER, MORGAN (DDS)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:LAUER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9537 228TH AVE
Mailing Address - Street 2:
Mailing Address - City:ACKWORTH
Mailing Address - State:IA
Mailing Address - Zip Code:50001-5719
Mailing Address - Country:US
Mailing Address - Phone:515-494-4409
Mailing Address - Fax:
Practice Address - Street 1:5921 SE 14TH ST STE 1500
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50320-1760
Practice Address - Country:US
Practice Address - Phone:515-285-4759
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-09917122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist