Provider Demographics
NPI:1417652199
Name:MORGAN, HALEY (DDS)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:
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 1:16913 OLD SPANISH TRL
Mailing Address - Street 2:
Mailing Address - City:DES ALLEMANDS
Mailing Address - State:LA
Mailing Address - Zip Code:70030-4210
Mailing Address - Country:US
Mailing Address - Phone:504-400-7172
Mailing Address - Fax:
Practice Address - Street 1:16913 OLD SPANISH TRL
Practice Address - Street 2:
Practice Address - City:DES ALLEMANDS
Practice Address - State:LA
Practice Address - Zip Code:70030-4210
Practice Address - Country:US
Practice Address - Phone:504-400-7172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program