# MORGAN FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316212020
- **Authorized official:** DR. NATHAN REID MORGAN DDS (DR/OWNER)
- **Authorized official phone:** (425) 350-7292

## Contact information

- **Practice address:** 19810 OLD HIGHWAY 99 SW, SUITE \#1, ROCHESTER, WA 98579-8684
- **Practice address phone:** (360) 870-7063
- **Mailing address:** 6843 KIRSOP LN SW, OLYMPIA, WA 98512-7916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE60172604 | WA | Yes |

## Other

- **Enumeration date:** 03/13/2012
- **Last updated:** 03/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2009765 | — | WA |
| 01 | — | 2518403 | TRICARE DENTAL | WA |