Provider Demographics
NPI:1992482400
Name:CAPWELL, MORGAN (DDS)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:CAPWELL
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 1:7825 MOCKINGBIRD MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37938-2331
Mailing Address - Country:US
Mailing Address - Phone:615-483-9531
Mailing Address - Fax:
Practice Address - Street 1:2944 TAZEWELL PIKE STE 2
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-1990
Practice Address - Country:US
Practice Address - Phone:865-687-8670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-28
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TN124981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program