Provider Demographics
NPI:1902961212
Name:MORGAN, ROBERT ERNEST JR (DDS MSD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ERNEST
Last Name:MORGAN
Suffix:JR
Gender:M
Credentials:DDS MSD
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Mailing Address - Street 1:5916 STEUBEN CT
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248
Mailing Address - Country:US
Mailing Address - Phone:972-386-4096
Mailing Address - Fax:972-386-0999
Practice Address - Street 1:3219 MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062
Practice Address - Country:US
Practice Address - Phone:972-669-3663
Practice Address - Fax:972-644-6066
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX118401223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry