Provider Demographics
NPI:1013189851
Name:MORGAN, RUTH (DDS)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:
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 1:1309 E PEACE ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MS
Mailing Address - Zip Code:39046-4956
Mailing Address - Country:US
Mailing Address - Phone:601-859-2182
Mailing Address - Fax:601-859-9346
Practice Address - Street 1:1309 E PEACE ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MS
Practice Address - Zip Code:39046-4956
Practice Address - Country:US
Practice Address - Phone:601-859-2182
Practice Address - Fax:601-859-9346
Is Sole Proprietor?:No
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2026122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist