Provider Demographics
NPI:1407236557
Name:BENJAMIN P. MORGAN, DDS, MS, PLLC
Entity Type:Organization
Organization Name:BENJAMIN P. MORGAN, DDS, MS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:PALMER
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:972-771-9933
Mailing Address - Street 1:990 W RALPH HALL PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75032-6666
Mailing Address - Country:US
Mailing Address - Phone:972-771-9933
Mailing Address - Fax:
Practice Address - Street 1:990 W RALPH HALL PKWY STE 100
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6666
Practice Address - Country:US
Practice Address - Phone:972-771-9933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental