Provider Demographics
NPI:1972732808
Name:MORGAN, SARA MARCELA (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:MARCELA
Last Name:MORGAN
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:DR
Other - First Name:MARCELA
Other - Middle Name:
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS, MS
Mailing Address - Street 1:234 BEACON RIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-9808
Mailing Address - Country:US
Mailing Address - Phone:312-399-0628
Mailing Address - Fax:
Practice Address - Street 1:31 OLEANDER DR
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27527-4561
Practice Address - Country:US
Practice Address - Phone:919-296-1700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-13
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL021.0023191223X0400X
FLDN240591223X0400X
NC118301223X0400X
IL019.027074122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist