Provider Demographics
NPI:1902930563
Name:MORGAN, BARBARA G (DMD,PA)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:G
Last Name:MORGAN
Suffix:
Gender:F
Credentials:DMD,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5347 MAIN ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-2506
Mailing Address - Country:US
Mailing Address - Phone:727-841-9800
Mailing Address - Fax:727-848-4768
Practice Address - Street 1:5347 MAIN ST
Practice Address - Street 2:SUITE 301
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-2506
Practice Address - Country:US
Practice Address - Phone:727-841-9800
Practice Address - Fax:727-848-4768
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00118541223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics