Organization
HARBOUR VIEW ORAL & FACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE E MORGAN DDS,MD (OWNER)
(757) 686-2703
Entity
Organization
Contact information
Practice address
5837 HARBOUR VIEW BLVD, SUFFOLK, VA 23435-2657
(757) 686-2703
(757) 686-3737
Mailing address
5837 HARBOUR VIEW BLVD, SUFFOLK, VA 23435-2657
(757) 686-2703
(757) 686-3737
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401410077
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9198562
DORAL DENTAL (MEDICAID DENTAL PROGRAM)
—
Enumeration date
11/20/2008
Last updated
11/19/2009
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