Provider Demographics
NPI:1164436390
Name:MORGAN, PETER A (DMD,MSCD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:A
Last Name:MORGAN
Suffix:
Gender:M
Credentials:DMD,MSCD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6 ESSEX CENTER DR
Mailing Address - Street 2:110
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-2910
Mailing Address - Country:US
Mailing Address - Phone:978-532-0500
Mailing Address - Fax:978-977-3458
Practice Address - Street 1:6 ESSEX CENTER DR
Practice Address - Street 2:110
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2910
Practice Address - Country:US
Practice Address - Phone:978-532-0500
Practice Address - Fax:978-977-3458
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA121421223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics