# JEFFREY D MORGAN DMD PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRANDRIDGE DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255886487
- **Authorized official:** JEFFREY MORGAN (OWNER)
- **Authorized official phone:** (509) 737-1800

## Contact information

- **Practice address:** 7103 W GRANDRIDGE BLVD STE G, KENNEWICK, WA 99336-6713
- **Practice address phone:** (509) 737-1800
- **Practice address fax:** (509) 734-9448
- **Mailing address:** 7103 W GRANDRIDGE BLVD STE G, KENNEWICK, WA 99336-6713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2016
- **Last updated:** 09/30/2022