Provider Demographics
NPI:1235206244
Name:GARNER D MORGAN DDS PA & ASSOCIATES
Entity Type:Organization
Organization Name:GARNER D MORGAN DDS PA & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARNER
Authorized Official - Middle Name:D
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-884-8133
Mailing Address - Street 1:28095 THREE NOTCH RD
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20659-3373
Mailing Address - Country:US
Mailing Address - Phone:301-884-8133
Mailing Address - Fax:301-884-0513
Practice Address - Street 1:28095 THREE NOTCH RD
Practice Address - Street 2:SUITE 1A
Practice Address - City:MECHANICSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20659-3373
Practice Address - Country:US
Practice Address - Phone:301-884-8133
Practice Address - Fax:301-884-0513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD73531223G0001X
MD75901223G0001X
MD96161223G0001X
MD133041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty