Individual
MORGAN FANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 E 6TH AVE STE 101, LANCASTER, OH 43130-2595
(740) 475-0700
Mailing address
2944 PATSIE DR, BEAVERCREEK, OH 45434-6149
(937) 654-1614
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.026564
OH
1223P0221X
Pediatric Dentistry
Primary
30.026564
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
05/07/2026
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