Provider Demographics
NPI:1306038229
Name:MORGAN, KRISTEN JEAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:JEAN
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 1:1265 TOURNAMENT DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:CA
Mailing Address - Zip Code:94010-7402
Mailing Address - Country:US
Mailing Address - Phone:650-438-6373
Mailing Address - Fax:
Practice Address - Street 1:1265 TOURNAMENT DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:CA
Practice Address - Zip Code:94010-7402
Practice Address - Country:US
Practice Address - Phone:650-438-6373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56182122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist