Individual
DR. JONATHAN DAVID MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1595 STATE HIGHWAY 150 S, SUITE 107A, EVANSTON, WY 82930-5350
(307) 789-5210
(307) 789-5123
Mailing address
1595 STATE HIGHWAY 150 S, SUITE 107A, EVANSTON, WY 82930-5350
(307) 789-5210
(307) 789-5123
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1104
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1600260
UNITED CONCORDIA
WY
01
—
312817
BCBS OF WYOMING
WY
Enumeration date
11/08/2006
Last updated
07/08/2007
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