1699254342 NPI number — DAVID E. MORGAN, D.D.S., P.L.L.C.

Table of content: (NPI 1699254342)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699254342 NPI number — DAVID E. MORGAN, D.D.S., P.L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DAVID E. MORGAN, D.D.S., P.L.L.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699254342
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/13/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 10
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BARCO
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27917-0010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
153 WORTH GUARD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COINJOCK
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27923-9766
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-453-2181
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/13/2018

Additional Information

Authorized Official

Authorized Official Last Name:
MORGAN
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
MEMBER/MANAGER/DENTIST
Authorized Official Telephone Number:
252-453-2181

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  09625 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1223G0001X , with the licence number: 09625 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com