Provider Demographics
NPI:1902654510
Name:MORGAN, TIFFANY M (DDS)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:M
Last Name:MORGAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 HARNEY ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-2915
Mailing Address - Country:US
Mailing Address - Phone:702-232-9906
Mailing Address - Fax:
Practice Address - Street 1:314 HARNEY ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-2915
Practice Address - Country:US
Practice Address - Phone:702-232-9906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program