Provider Demographics
NPI:1376769158
Name:MORGAN, MICHAEL H (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:H
Last Name:MORGAN
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6505 ROCKSIDE RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-2342
Mailing Address - Country:US
Mailing Address - Phone:216-642-9111
Mailing Address - Fax:216-642-8801
Practice Address - Street 1:6505 ROCKSIDE RD
Practice Address - Street 2:SUITE 310
Practice Address - City:INDEPENDENCE
Practice Address - State:OH
Practice Address - Zip Code:44131-2342
Practice Address - Country:US
Practice Address - Phone:216-642-9111
Practice Address - Fax:216-642-8801
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH196041223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics