Provider Demographics
NPI:1144330184
Name:MORGAN, DAVIS WAYNE (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVIS
Middle Name:WAYNE
Last Name:MORGAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-3212
Mailing Address - Country:US
Mailing Address - Phone:972-723-5544
Mailing Address - Fax:972-723-5546
Practice Address - Street 1:102 S 7TH ST
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-3212
Practice Address - Country:US
Practice Address - Phone:972-723-5544
Practice Address - Fax:972-723-5546
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16079122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist