Provider Demographics
NPI:1306407358
Name:BARNES, MORGAN LEE (DMD)
Entity Type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:LEE
Last Name:BARNES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-1353
Mailing Address - Country:US
Mailing Address - Phone:919-524-0469
Mailing Address - Fax:
Practice Address - Street 1:105 S RAILROAD ST
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:NC
Practice Address - Zip Code:27504-1325
Practice Address - Country:US
Practice Address - Phone:919-628-4744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC113861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice