Individual
DR. MICHAEL SCOTT MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3145 VIRGINIA BEACH BLVD, SUITE 104, VIRGINIA BEACH, VA 23452-6950
(757) 340-7602
(757) 340-8609
Mailing address
3145 VIRGINIA BEACH BLVD, SUITE 104, VIRGINIA BEACH, VA 23452-6950
(757) 340-7602
(757) 340-8609
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982687562
ORGANIZATIONAL NPI
VA
01
—
331140
BLUE CROSS BLUE SHIELD
VA
01
—
791107
UCC
VA
Enumeration date
10/23/2006
Last updated
07/08/2007
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