Provider Demographics
NPI:1225249576
Name:DON H. MORGAN, D.D.S., P.S.
Entity Type:Organization
Organization Name:DON H. MORGAN, D.D.S., P.S.
Other - Org Name:DR. DON H. MORGAN, DDS, PS.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/DENTIST-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:509-965-9451
Mailing Address - Street 1:121 N. 50TH AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-2862
Mailing Address - Country:US
Mailing Address - Phone:509-965-9451
Mailing Address - Fax:509-965-1922
Practice Address - Street 1:121 N. 50TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-2862
Practice Address - Country:US
Practice Address - Phone:509-965-9451
Practice Address - Fax:509-965-1922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA46511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5385505Medicaid