Individual
DR. TERESA A MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
51300 POMERANTZ FAMILY PAVILION, IOWA CITY, IA 52242
(319) 356-7339
(319) 353-6923
Mailing address
51300 POMERANTZ FAMILY PAVILION, IOWA CITY, IA 52242
(319) 356-7339
(319) 353-6923
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
07888
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235804
—
IA
01
—
173980009
MEDICARE NUMBER COD
IA
01
—
28662
WELLMARK
IA
01
—
I2113
MEDICARE NUMBER HDI
IA
Enumeration date
12/19/2005
Last updated
01/24/2014
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