Provider Demographics
NPI:1497762090
Name:MORGAN, HARRY HOFFMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:HOFFMAN
Last Name:MORGAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 ROGERS AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-3074
Mailing Address - Country:US
Mailing Address - Phone:479-785-4848
Mailing Address - Fax:479-785-0231
Practice Address - Street 1:3800 ROGERS AVE STE 3
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-3074
Practice Address - Country:US
Practice Address - Phone:479-785-4848
Practice Address - Fax:479-785-0231
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR21291223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics