Provider Demographics
NPI:1427019082
Name:MORGAN, CHERYL (DMD, MS, FABP)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:DMD, MS, FABP
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:ANETTE
Other - Last Name:RILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD, MS
Mailing Address - Street 1:DEPT OF THE ARMY, DENTAL ACTIVITY STOP B
Mailing Address - Street 2:2817 REILLY RD, MCDS-NA-B
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310-0001
Mailing Address - Country:US
Mailing Address - Phone:910-643-2196
Mailing Address - Fax:910-396-7017
Practice Address - Street 1:DEPT OF THE ARMY, DENTAL ACTIVITY STOP B
Practice Address - Street 2:2817 REILLY RD, MCDS-NA-B
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-0001
Practice Address - Country:US
Practice Address - Phone:910-643-2196
Practice Address - Fax:910-396-7017
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC69261223P0700X
LA44021223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics